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NICHOLAS LONGE DO
NPI 1740020148
Family Medicine in Pocatello, ID

Active since May 31, 2024PECOS Enrolled
465 MEMORIAL DR, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Longe Do NPPES

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

NICHOLAS LONGE DO (NPI 1740020148) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRO-2428) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1740020148
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS LONGECredential: DO
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Phone(208) 232-7862
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2024
Enumeration DateMay 31, 2024
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1740020148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · MRO-2428
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
465 MEMORIAL DR, Pocatello, ID 83201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Longe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799224788
PECOS Enrollment IDI20260202003389
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 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

DR. JORDIN MILLWARD PHARMD
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3387
KATELYN BERCAW DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
TYLER GEYEN DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3289
DR. CORY VEIGEL DMD
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
CHAD REILLY PEXTON DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
BRANDON PACE DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. BRADLEY YAMASHITA BEAUFORT DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700
SHAYLOR BRINGHURST MD
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862

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 Nicholas Longe's NPI number?

The NPI number for Nicholas Longe is 1740020148. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Nicholas Longe located?

Nicholas Longe practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.

What is Nicholas Longe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Longe enrolled in Medicare?

Yes. Nicholas Longe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Longe was last updated on June 26, 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.