KATHLEEN A LONG APRN-BC, ND
NPI 1831113026
Nurse Practitioner - Family in Mishawaka, IN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7673(574) 307-7692 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen A Long Aprn-bc, Nd NPPES

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

KATHLEEN A LONG APRN-BC, ND (NPI 1831113026) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71001562A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1831113026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN A LONGCredential: APRN-BC, ND
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address420 W 4th StMishawaka, IN 46544-1948 · (574) 307-7673 · Fax (574) 307-7692
Fax(574) 307-7692
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 27, 2006
Last NPPES UpdateJanuary 17, 2019
NPI 1831113026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71001562A
420 W 4TH ST, Mishawaka, IN 46544

Other Identifiers 2

Medicaid200441170IN
Other000000878026IN · Bcbs

Accepted 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

Kathleen A Long Aprn-bc, Nd 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 ID5193612182
PECOS Enrollment IDI20040303000936
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$5.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims20 services$86.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544

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 Kathleen Long's NPI number?

The NPI number for Kathleen Long is 1831113026. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kathleen Long located?

Kathleen Long practices at 420 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 307-7673.

What is Kathleen Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Long enrolled in Medicare?

Yes. Kathleen 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 Kathleen Long accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kathleen 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 Kathleen Long affiliated with any hospitals?

According to CMS data, Kathleen Long is affiliated with Saint Joseph Regional Medical Center and University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Long was last updated on January 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.