Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAURA DEREE LONG MS, AGPCNP
NPI 1881130870
Registered Nurse in Eden Prairie, MN

Q: What is Laura Long's NPI number?

The NPI number for Laura Long is 1881130870. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Q: What is Laura Long's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Long was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2017PECOS Enrolled

11000 OPTUM CIR, EDEN PRAIRIE, MN 55344(888) 608-1777(877) 329-4130 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, May 29, 2026, Nov 14, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Laura Deree Long Ms, Agpcnp NPPES

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

LAURA DEREE LONG MS, AGPCNP (NPI 1881130870) is an individual registered nurse in Eden Prairie, Minnesota, licensed in Florida (9340365) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maryland Heights.

NPPES Registry Identity

NPI1881130870

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameLAURA DEREE LONGCredential: MS, AGPCNP

Location Address11000 OPTUM CIREden Prairie, MN 55344-2503

Mailing Address11000 Optum CirEden Prairie, MN 55344-2503 · (888) 608-1777 · Fax (877) 329-4130

Phone(888) 608-1777

Fax(877) 329-4130

Sole ProprietorNo

Enumeration DateJanuary 13, 2017

Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1881130870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in FL · 9340365

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AG0117105 (FL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 70131278 (WA), 31994 (SC), 0106659 (CO), 228742 (OK), AG0117105 (FL), 2026021232 (MO), 5024497 (NC), H190805 (IA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AG0117105 (FL)

11000 OPTUM CIR, Eden Prairie, MN 55344

Open in Google Maps ↗

Secondary Practice Location 1

Location 113655 Riverport DrMaryland Heights, MO 63043-4812 · Phone (888) 608-1777 · Fax (877) 329-4130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Deree Long Ms, Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty

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.

HOLLY HOLMES LMSW

Social Worker