MARY LONG APRN CNP
NPI 1609524776
Nurse Practitioner - Family in Bethany, OK
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Long Aprn Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 146 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BETHANY, OK 73008
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 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.
Where is Mary Long located?
Mary Long practices at 6800 NW 39th Expy, Bethany, OK 73008. The listed phone number is (405) 789-6711.
What is Mary Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Long enrolled in Medicare?
Yes. Mary Long is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Long reassigns Medicare benefits to The Physicians Group LLC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Long accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mary 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.
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.
# Mary Long, APRN CNP · NPI 1609524776
Family physician in Bethany, Oklahoma. Individual provider, active in the CMS NPPES registry since March 16, 2022.
## Identity
- **NPI:** 1609524776 (Entity type: Individual)
- **Enumerated:** March 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 207060 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6800 NW 39TH EXPY, Bethany, OK 73008-2513
- **Phone:** (405) 789-6711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Physicians Group LLC (NPI 1487620381, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2023
- **Other identifiers:** Other 207060 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1609524776) · Data from the CMS NPPES public registry.