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

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: July 26, 2026.

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, maintains a secondary practice location in Portland, 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
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

Secondary Practice Location 1

Location 15100 SW MacAdam Ave, Suite 200Portland, OR 97239-6102 · Phone (971) 202-5500 · Fax (971) 202-5555

Accepted 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.

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.

Nurse Practitioner (Adult Health)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Physician Assistant
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Internal Medicine
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Family Medicine (Geriatric Medicine)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Nurse Practitioner (Family)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239
Social Worker (Clinical)
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239

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 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.

Where is Amy Long located?

Amy Long practices at 5100 S Macadam Ave Ste 200, Portland, OR 97239. The listed phone number is (971) 202-5500.

What is Amy Long's specialty?

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

Is Amy Long enrolled in Medicare?

Yes. Amy Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Long accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amy 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 Amy Long was last updated on April 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.