NICOLE DIANE LONG FNP-C
NPI 1891058939
Nurse Practitioner - Family in Idaho Falls, ID

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
2990 CORTEZ AVE, IDAHO FALLS, ID 83404(208) 535-0440(208) 535-0550 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Diane Long Fnp-c NPPES

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

NICOLE DIANE LONG FNP-C (NPI 1891058939) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (NP-1171A) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1891058939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE DIANE LONGCredential: FNP-C
Location Address2990 CORTEZ AVEIdaho Falls, ID 83404-7554
Mailing Address2990 Cortez AveIdaho Falls, ID 83404-7554 · (208) 535-0440 · Fax (208) 535-0550
Fax(208) 535-0550
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 22, 2012
NPI 1891058939 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 ID · NP-1171A
2990 CORTEZ AVE, Idaho Falls, ID 83404

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

Nicole Diane Long Fnp-c 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 ID3476704727
PECOS Enrollment IDI20211122000092
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services35 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

e-Prescribing
99%691 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%610 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Physician Assistant
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Nurse Practitioner
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404

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 Nicole Long's NPI number?

The NPI number for Nicole Long is 1891058939. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Nicole Long located?

Nicole Long practices at 2990 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (208) 535-0440.

What is Nicole Long's specialty?

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

Is Nicole Long enrolled in Medicare?

Yes. Nicole 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 Nicole Long accept?

Health plans from AvMed, UnitedHealthcare and Wellpoint list Nicole 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 Nicole Long affiliated with any hospitals?

According to CMS data, Nicole Long is affiliated with Flagler Hospital and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Nicole Long was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.