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MADISON BULLARD LONG NP
NPI 1659258515
Nurse Practitioner in Tupelo, MS

Active since August 20, 2025PECOS Enrolled
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Madison Bullard Long Np NPPES

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

MADISON BULLARD LONG NP (NPI 1659258515) is an individual nurse practitioner in Tupelo, Mississippi, licensed in Mississippi (907715) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659258515
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADISON BULLARD LONGCredential: NP
Location Address830 S GLOSTER STTupelo, MS 38801-4996
Mailing Address14 County Road 443Vardaman, MS 38878-9504 · (662) 567-7204
Phone(662) 377-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1659258515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 907715
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
830 S GLOSTER ST, Tupelo, MS 38801
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Other Names 1

Former Name (1)Madison Leigh Bullard

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Bullard Long Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547754210
PECOS Enrollment IDI20251210001666
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 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

LAUREN ELIZABETH ABEL CRNA
Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4394
WESLEY B BRUCE
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
DR. ROBERT CARSON KIRKSEY M.D.
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (866) 754-3852
NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4685
NORTH MISSISSIPPI MEDICAL CENTER INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Lee County (662) 377-7170
JENNIFER L TAYLOR FNP-BC
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (205) 412-0585
KALISA MICKELL FNP
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
JESSICA KATHRYN PIPPIN
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (888) 731-7611

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 Madison Long's NPI number?

The NPI number for Madison Long is 1659258515. It was assigned to this individual provider in the NPPES registry on August 20, 2025. The provider is also known as Madison Leigh Bullard.

Where is Madison Long located?

Madison Long practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3000.

What is Madison Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madison Long enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Madison Long was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.