MARY LONG APRN CNP
NPI 1609524776
Nurse Practitioner - Family in Bethany, OK

Q: What is Mary Long's NPI number?

The NPI number for Mary Long is 1609524776. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Q: What is Mary Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Long was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2022PECOS Enrolled

6800 NW 39TH EXPY, BETHANY, OK 73008(405) 789-6711 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Long Aprn Cnp NPPES

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

MARY LONG APRN CNP (NPI 1609524776) is an individual family provider in Bethany, Oklahoma, licensed in Oklahoma (207060) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Yukon.

NPPES Registry Identity

NPI1609524776

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY LONGCredential: APRN CNP

Location Address6800 NW 39TH EXPYBethany, OK 73008-2513

Mailing Address6800 Nw 39th ExpyBethany, OK 73008-2513 · (405) 789-6711

Phone(405) 789-6711

Sole ProprietorYes

Enumeration DateMarch 16, 2022

Last NPPES UpdateJanuary 10, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1609524776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 207060

6800 NW 39TH EXPY, Bethany, OK 73008

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Secondary Practice Location 1

Location 14400 Grant BlvdYukon, OK 73099-0037 · Phone (405) 603-4660

Other Identifiers 1

Other207060OK · Oklahoma Board Of Nursing

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Long Aprn Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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