MR. NICHOLAS DAVID LONGFELLOW ACNP
NPI 1801406467
Nurse Practitioner - Gerontology in Saint Louis, MO
About Mr. Nicholas David Longfellow Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICHOLAS DAVID LONGFELLOW ACNP (NPI 1801406467) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2020029661) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Vanderbilt University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Mr. Nicholas David Longfellow Acnp 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
3Medicare enrollment records show Nicholas Longfellow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Longfellow's NPI number?
The NPI number for Nicholas Longfellow is 1801406467. It was assigned to this individual provider in the NPPES registry on August 7, 2020.
Where is Nicholas Longfellow located?
Nicholas Longfellow practices at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis, MO 63110. The listed phone number is (800) 862-9980.
What is Nicholas Longfellow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Nicholas Longfellow enrolled in Medicare?
Yes. Nicholas Longfellow 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 Nicholas Longfellow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Longfellow reassigns Medicare benefits to 3 organizations: Fairview Express Care (Burnsville, MN), Fairview Specialty Services (Saint Paul, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). 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 Nicholas Longfellow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Longfellow accept?
Health plans from Sanford Health Plan list Nicholas Longfellow 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 Nicholas Longfellow affiliated with any hospitals?
According to CMS data, Nicholas Longfellow is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Nicholas Longfellow was last updated on November 15, 2021. 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.
# Mr. Nicholas David Longfellow, ACNP · NPI 1801406467
Gerontology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 7, 2020.
## Identity
- **NPI:** 1801406467 (Entity type: Individual)
- **Enumerated:** August 7, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 2020029661 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, Saint Louis, MO 63110-1003
- **Phone:** (800) 862-9980 · **Fax:** (314) 362-1185
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1083806772, Burnsville, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** November 15, 2021
- **Other identifiers:** Medicaid 420089047 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1801406467) · Data from the CMS NPPES public registry.