AMY M LONG GNP
NPI 1720304843
Nurse Practitioner - Gerontology in Portland, OR

Q: What is Amy Long's NPI number?

The NPI number for Amy Long is 1720304843. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Q: What is Amy Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amy Long was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 14, 2010PECOS EnrolledAccepts Medicare Assignment

5100 S MACADAM AVE STE 200, PORTLAND, OR 97239(971) 202-5500(971) 202-5555 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy M Long Gnp NPPES

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

AMY M LONG GNP (NPI 1720304843) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (201050047NP) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720304843

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMY M LONGCredential: GNP

Location Address5100 S MACADAM AVE STE 200Portland, OR 97239-3827

Mailing Address5100 S Macadam Ave Ste 200Portland, OR 97239-3827 · (971) 202-5500 · Fax (971) 202-5555

Phone(971) 202-5500

Fax(971) 202-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 14, 2010

Last NPPES UpdateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1720304843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in OR · 201050047NP

5100 S MACADAM AVE STE 200, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy M Long Gnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062543572

PECOS Enrollment IDI20100628000593

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.

Areas of Expertise CMS Part B claims

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.

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

KATHERINE FELICIA EDSTROM AGNP-C

Nurse Practitioner (Gerontology)