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LYSA LONG CNM
NPI 1619110418
Advanced Practice Midwife in Charlotte, NC

Active since April 09, 2009PECOS Enrolled
5933 BLAKENEY PARK DR STE 100, CHARLOTTE, NC 28277(704) 316-2021(704) 316-2025 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2020, Nov 30, 2018 (2 updates tracked since 2018).

About Lysa Long Cnm NPPES

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

LYSA LONG CNM (NPI 1619110418) is an individual advanced practice midwife in Charlotte, North Carolina, licensed in North Carolina (185) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619110418
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLYSA LONGCredential: CNM
Location Address5933 BLAKENEY PARK DR STE 100Charlotte, NC 28277-5713
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-2025 · Fax (704) 316-2025
Phone(704) 316-2021
Fax(704) 316-2025
Sole ProprietorNo
Enumeration DateApril 9, 2009
Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1619110418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NC · 185
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
5933 BLAKENEY PARK DR STE 100, Charlotte, NC 28277
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Other Identifiers 1

Medicaid7002154NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Lysa Long Cnm 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 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 2

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

MRS. SARAH MARIE RUMBAUGH CNM
Advanced Practice Midwife
5933 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021
MICHAEL ELLSWORTH DRENNEN MD
Obstetrics & Gynecology
5933 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2021

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 Lysa Long's NPI number?

The NPI number for Lysa Long is 1619110418. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Lysa Long located?

Lysa Long practices at 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 316-2021.

What is Lysa Long's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lysa Long enrolled in Medicare?

Yes. Lysa Long is registered in the Medicare PECOS enrollment system.

What insurance does Lysa Long accept?

Health plans from Blue Cross and Blue Shield of NC list Lysa 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 Lysa Long was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.