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DR. JACKIE LONG M.D.
NPI 1790039071
Psychiatry & Neurology - Psychiatry in Minot, ND

Active since November 07, 2012PECOS EnrolledAccepts Medicare Assignment
83.79/100
CMS Quality Rating
407 3RD ST SE, MINOT, ND 58701(701) 857-2360(701) 857-2187 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Feb 21, 2017, Oct 18, 2016 (3 updates tracked since 2016).

About Dr. Jackie Long M.d. NPPES

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

DR. JACKIE LONG M.D. (NPI 1790039071) is an individual psychiatry provider in Minot, North Dakota, licensed in North Dakota (16459) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790039071
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JACKIE LONGCredential: M.D.
Location Address407 3RD ST SEMinot, ND 58701-4470
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000
Phone(701) 857-2360
Fax(701) 857-2187
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 7, 2012
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1790039071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in ND · 16459✔ Licensed in FL · ME126295
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
407 3RD ST SE, Minot, ND 58701
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113505 US Highway 1Sebastian, FL 32958-3759 · Phone (772) 257-8224 ext. 339 · Fax (772) 213-3157
Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Other Identifiers 1

OtherME126295FL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Blue Cross Blue Shield of North Dakota and more.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

Dr. Jackie Long M.d. 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 ID3375826621
PECOS Enrollment IDI20200421001054
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost67.62

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.

JESSICA M TONNESSEN M.S., SLP
Speech-Language Pathologist
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-5514
LAUREN SHAW
Speech-Language Pathologist
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-5514
MR. LUIS VALENCIA COCA III LAC
Counselor (Addiction (Substance Use Disorder))
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-2480
MICHAEL G RAYEL M.D.
Psychiatry & Neurology (Psychiatry)
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-2360
MACKENZIE RENEE WESTFALL OTD
Occupational Therapist
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 418-8000
MEREDYTHE A LESTER LAC
Counselor (Addiction (Substance Use Disorder))
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-2480
BETHANY RICHARDSON M.A., CCC-SLP, CBIS
Speech-Language Pathologist
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-5514
AMY THULL
Counselor (Addiction (Substance Use Disorder))
407 3RD ST SE
MINOT, ND 58701
Ward County (701) 857-2481

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 Jackie Long's NPI number?

The NPI number for Jackie Long is 1790039071. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Jackie Long located?

Jackie Long practices at 407 3rd St SE, Minot, ND 58701. The listed phone number is (701) 857-2360.

What is Jackie Long's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jackie Long enrolled in Medicare?

Yes. Jackie 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 Jackie Long accept?

Health plans from AmeriHealth Caritas Next, AvMed, Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jackie 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.

Is Jackie Long affiliated with any hospitals?

According to CMS data, Jackie Long is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Jackie Long was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.