Active NPI
Nicole Elizabeth Longo, FNP
- Nurse Practitioner
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 29441
- Practice address
- 1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219 - Phone
- (864) 582-6396
- Fax
- (864) 582-1608
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5019188 | NC | |
| Nurse Practitioner | 363L00000X | 29441 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5019188 | NC |
Addresses
Primary practice location
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Mailing address
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Other practice location 1
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 2
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 3
1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025-2414
Phone (704) 403-9050
Other practice location 4
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 5
115 Deacon Tiller Ct
Duncan, SC 29334-8880
Phone (864) 582-6396
Other practice location 6
10210 Couloak Dr
Ste E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 68.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29441 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients | |
| Observation Associates of the University of Rochester | Current | Accepting new patients | |
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| University of Rochester Urgent Care | Current | Accepting new patients | |
| Arboretum Urgent Care Center | Current | Accepting new patients | |
| Emergency Associates - University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
10210 Couloak Dr
Ste E
Charlotte, NC 28216
Phone (704) 801-2000
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269
Phone (704) 863-9930
1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025
Phone (704) 403-9050
601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055
42 Nichols St
Spencerport, NY 14559
Phone (585) 349-7094
115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396
1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396
Interoperability endpoints
- nlongo2767037@direct.bsmhealth.org
- nmenapace117792@direct.urmc.rochester.edu
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1568454056
-
- Emergency Care Clinic/Center
- Rochester, NY
- NPI 1346281268
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1518908433
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1700260395
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
dba Atrium Health Urgent Care Arboretum
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Orthopaedic Surgery Physician
- Columbus, NC
- NPI 1083309074
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Concord, NC
- NPI 1902049190
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1003541673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-582-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-582-1608"
}
],
"practiceLocations": [
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1090 NE Gateway Ct NE",
"address_2": "Ste 202",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252414",
"country_code": "US",
"telephone_number": "704-403-9050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Deacon Tiller Ct",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "SC",
"postal_code": "293348880",
"country_code": "US",
"telephone_number": "864-582-6396",
"fax_number": "864-582-1608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10210 Couloak Dr",
"address_2": "Ste E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGO",
"first_name": "NICOLE",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019188",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "29441",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5019188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.