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JACLYN R LONG MD
NPI 1881335123
Family Medicine in Anchorage, AK

Active since April 01, 2022PECOS Enrolled
1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229(907) 562-1603 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jaclyn R Long Md NPPES

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

JACLYN R LONG MD (NPI 1881335123) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (236912) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881335123
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACLYN R LONGCredential: MD
Location Address1201 E 36TH AVEAnchorage, AK 99508-4372
Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141
Phone(907) 562-9229
Fax(907) 562-1603
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1881335123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 236912
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1201 E 36TH AVE, Anchorage, AK 99508
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn R Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486034303
PECOS Enrollment IDI20250902001520
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaclyn Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kodiak Island Health Care Foundation
251 mi
Federally Qualified Health Center (FQHC)
1911 E REZANOF DR.
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • 18 clinicians in this Medicare group
NPI 1326047044 (907) 481-5000
Providence Health & Services Washington
251 mi
Emergency Medical Services
1915 E REZANOF DR
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1013905660 (Alaska)
  • 73 clinicians in this Medicare group
NPI 1952430902 (907) 486-3281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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.

RAYMOND PASTORINO PHD
Psychologist
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
DR. WILLIAM MURRAY BUTTNER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ROBERT L MCALISTER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2992
SAMUEL C CASTLES MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
EMMA F MAYFIELD DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MATTHEW A COLLICOTT DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MARIN GRANHOLM MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ASHLEY L FRANKLIN MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229

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 Jaclyn Long's NPI number?

The NPI number for Jaclyn Long is 1881335123. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Jaclyn Long located?

Jaclyn Long practices at 1201 E 36th Ave, Anchorage, AK 99508. The listed phone number is (907) 562-9229.

What is Jaclyn Long's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jaclyn Long enrolled in Medicare?

Yes. Jaclyn Long is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaclyn Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Long reassigns Medicare benefits to 2 organizations: Kodiak Island Health Care Foundation (Kodiak, AK) and Providence Health & Services Washington (Kodiak, AK). 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 Jaclyn Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Long accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jaclyn 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 Jaclyn Long was last updated on November 4, 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.