Individual provider Active NPI

Jennifer Leeann Long, APN

  • Family Nurse Practitioner
  • Lake City, AR
National Provider Identifier
1013223130
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ATP-000303 Issued in AR
Practice address
1009 Highway 18
Lake City, AR 72437-9622
Phone
(870) 237-9928
Fax
(870) 237-1012
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ATP-000303 AR Primary

Addresses

Primary practice location

1009 Highway 18
Lake City, AR 72437-9622

Mailing address

117 S 2ND St
PO Box 497
Augusta, AR 72006-2309
Phone (870) 347-2534

Other identifiers 2

IdentifierTypeStateIssuer
155123749MedicaidAR
185303758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000505 AR Practitioner - Nurse Practitioner 2466648845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

1009 Hwy 18
Lake City, AR 72437-9622
Phone (870) 237-9928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ATP-000303ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare Current Accepting new patients
Arcare CurrentSince Sep 4, 2010 Accepting new patients
Arcare CurrentSince Sep 4, 2010 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

117 S 2nd St
Augusta, AR 72006

1009 Highway 18
Lake City, AR 72437
Phone (870) 237-9928

1009 Highway 18
#65
Lake City, AR 72437
Phone (870) 237-9928

Interoperability endpoints

  • Direct secure messaging: jennifer.long@arcare.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1013223130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 2ND ST",
            "address_2": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720062309",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HIGHWAY 18",
            "city": "LAKE CITY",
            "state": "AR",
            "postal_code": "724379622",
            "telephone_number": "870-237-9928",
            "fax_number": "870-237-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "middle_name": "LEEANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP-000303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155123749",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185303758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, AR

Sources for this page

Verify at the official NPI Registry.