EDINAM LONG DNP
NPI 1861216384
Nurse Practitioner - Family in Green Bay, WI
About Edinam Long Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDINAM LONG DNP (NPI 1861216384) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (15580-33) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Edinam Long Dnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54301
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 Edinam Long's NPI number?
The NPI number for Edinam Long is 1861216384. It was assigned to this individual provider in the NPPES registry on November 12, 2024. The provider is also known as Edinam Amesimeku Dnp.
Where is Edinam Long located?
Edinam Long practices at 1920 Libal St, Green Bay, WI 54301. The listed phone number is (715) 732-1648.
What is Edinam Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Edinam Long enrolled in Medicare?
Yes. Edinam 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 Edinam Long accept?
Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Edinam 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.
When was this NPI record last updated?
The NPPES record for Edinam Long was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Edinam Long, DNP · NPI 1861216384
Family physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since November 12, 2024.
## Identity
- **NPI:** 1861216384 (Entity type: Individual)
- **Enumerated:** November 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15580-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1920 LIBAL ST, Green Bay, WI 54301-2471
- **Phone:** (715) 732-1648
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861216384) · Data from the CMS NPPES public registry.