ANGELA DESIREE LONG FNP-BC, PMHNP-BC
NPI 1720458706
Nurse Practitioner - Psychiatric/Mental Health in Middle River, MD
About Angela Desiree Long Fnp-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA DESIREE LONG FNP-BC, PMHNP-BC (NPI 1720458706) is an individual psychiatric/mental health provider in Middle River, Maryland, licensed in Maryland (R192628) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angela Desiree Long Fnp-bc, Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Angela Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middle River, MD 21220
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Bowie, MD 20715
- Reassigned Medicare billing, District of Columbia enrollment
- 132 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 10
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 21220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
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 Angela Long's NPI number?
The NPI number for Angela Long is 1720458706. It was assigned to this individual provider in the NPPES registry on October 2, 2015.
Where is Angela Long located?
Angela Long practices at 11560 Crossroads Cir Ste 102, Middle River, MD 21220. The listed phone number is (410) 508-0722.
What is Angela Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Angela Long enrolled in Medicare?
Yes. Angela 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.
Which organizations bill Medicare for Angela Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Long reassigns Medicare benefits to 2 organizations: Long Integrated Psychiatric Services LLC (Middle River, MD) and Mnr Industries, LLC (Bowie, MD). Each 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 Angela Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Long was last updated on June 28, 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.
# Angela Desiree Long, FNP-BC, PMHNP-BC · NPI 1720458706
Psychiatric/Mental Health physician in Middle River, Maryland. Individual provider, active in the CMS NPPES registry since October 2, 2015.
## Identity
- **NPI:** 1720458706 (Entity type: Individual)
- **Enumerated:** October 2, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R192628 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11560 CROSSROADS CIR STE 102, Middle River, MD 21220-2885
- **Phone:** (410) 508-0722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Long Integrated Psychiatric Services LLC (NPI 1033878137, Middle River, MD); Mnr Industries, LLC (NPI 1093130924, Bowie, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720458706) · Data from the CMS NPPES public registry.