MR. DOUGLAS WILLIAM LONG ACNPC-AG
NPI 1689049702
Nurse Practitioner - Acute Care in Little Rock, AR
About Mr. Douglas William Long Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DOUGLAS WILLIAM LONG ACNPC-AG (NPI 1689049702) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (A005415) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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)
Mr. Douglas William Long Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Douglas Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Douglas Long's NPI number?
The NPI number for Douglas Long is 1689049702. It was assigned to this individual provider in the NPPES registry on December 1, 2015.
Where is Douglas Long located?
Douglas Long practices at 4301 W Markham St # 532, Little Rock, AR 72205. The listed phone number is (501) 686-5311.
What is Douglas Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Douglas Long enrolled in Medicare?
Yes. Douglas Long is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Douglas Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Long reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Little Rock, AR). 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 Douglas Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Long accept?
Health plans from Health Advantage and Octave list Douglas 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 Douglas Long was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Douglas William Long, ACNPC-AG · NPI 1689049702
Acute Care physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since December 1, 2015.
## Identity
- **NPI:** 1689049702 (Entity type: Individual)
- **Enumerated:** December 1, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** A005415 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 532, Little Rock, AR 72205-7101
- **Phone:** (501) 686-5311 · **Fax:** (501) 686-6439
## 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:** University Of Arkansas For Medical Sciences (NPI 1043372220, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689049702) · Data from the CMS NPPES public registry.