MOLLIE ANNE LONG CRNP
NPI 1740745801
Nurse Practitioner - Acute Care in Philadelphia, PA
About Mollie Anne Long Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLIE ANNE LONG CRNP (NPI 1740745801) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019713) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mollie Anne Long Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Mollie Long's NPI number?
The NPI number for Mollie Long is 1740745801. It was assigned to this individual provider in the NPPES registry on February 4, 2019.
Where is Mollie Long located?
Mollie Long practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2777.
What is Mollie Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mollie Long enrolled in Medicare?
Yes. Mollie Long is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mollie Long was last updated on January 21, 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.
# Mollie Anne Long, CRNP · NPI 1740745801
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 4, 2019.
## Identity
- **NPI:** 1740745801 (Entity type: Individual)
- **Enumerated:** February 4, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP019713 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-2777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740745801) · Data from the CMS NPPES public registry.