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KELLY LYNN LONG PA-C
NPI 1568623338
Physician Assistant - Medical in Plymouth, MI

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
500 ROSS ST, PLYMOUTH, MI 48170(734) 341-7767(734) 893-3131 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2022, Apr 29, 2022, Apr 5, 2022 and 2 more (5 updates tracked since 2016).

About Kelly Lynn Long Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN LONG PA-C (NPI 1568623338) is an individual medical provider in Plymouth, Michigan, licensed in Michigan (5601003518) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1568623338
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY LYNN LONGCredential: PA-C
Location Address500 ROSS STPlymouth, MI 48170-2206
Mailing Address500 Ross StPlymouth, MI 48170-2206 · (734) 341-7767 · Fax (734) 893-3131
Phone(734) 341-7767
Fax(734) 893-3131
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 24, 2008
Last NPPES UpdateMay 5, 20225 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1568623338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003518
500 ROSS ST, Plymouth, MI 48170
Open in Google Maps ↗

Other Identifiers 1

Other5601003518MI · Michigan License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lynn Long Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527284330
PECOS Enrollment IDI20170720001137
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN INFUSION AND LICENSED HEALTHCARE
Physician Assistant
500 ROSS ST
PLYMOUTH, MI 48170
Wayne County (734) 341-7767
MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE
Clinic/Center (Health Service)
500 ROSS ST
PLYMOUTH, MI 48170
Wayne County (734) 341-7767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Long's NPI number?

The NPI number for Kelly Long is 1568623338. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Kelly Long located?

Kelly Long practices at 500 Ross St, Plymouth, MI 48170. The listed phone number is (734) 341-7767.

What is Kelly Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Long enrolled in Medicare?

Yes. Kelly Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Long accept?

Health plans from Priority Health and UnitedHealthcare list Kelly Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Long affiliated with any hospitals?

According to CMS data, Kelly Long is affiliated with Beaumont Hospital Royal Oak, Trinity Health Ann Arbor Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Kelly Long was last updated on May 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.