Individual provider Active NPI

Christine Marie Longo, LMT

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1053533497
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016189 Issued in FL
Practice address
280 Farner PL
The Villages, FL 32163-6066
Phone
(352) 674-1710
Fax
(352) 674-8910
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 APRN11016189 FL Primary

Addresses

Primary practice location

280 Farner PL
The Villages, FL 32163-6066

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211204000112 FL Practitioner - Nurse Practitioner 1557751674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

725 E Oak St
Kissimmee, FL 34744-4591
Phone (407) 846-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
84.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016189FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology Group PA CurrentSince Nov 1, 2023 Accepting new patients
Goodless Dermatology, LLC CurrentSince Nov 1, 2023 Accepting new patients
Associates in Dermatology Inc CurrentSince May 17, 2024 Accepting new patients
F. Christopher Manlio, DO, PA CurrentSince Jun 12, 2022 Accepting new patients

Locations

400 Celebration Pl
#A12
Celebration, FL 34747

1655 E Highway 50
Ste 201
Clermont, FL 34711

903 N Central Ave
Kissimmee, FL 34741
Phone (407) 705-5100

410 Celebration Pl
Ste 301
Kissimmee, FL 34747
Phone (407) 566-1616

725 E Oak St
Kissimmee, FL 34744
Phone (407) 846-1234

2060 N Donnelly St
Mount Dora, FL 32757
Phone (352) 383-7703

8690 Point Cypress Dr
Ste 110
Orlando, FL 32836
Phone (407) 566-1616

10920 Moss Park Rd
Ste 200
Orlando, FL 32832
Phone (407) 846-0533

339 Cypress Pkwy
Ste 110
Poinciana, FL 34759
Phone (407) 343-5000

3106 17th St
Saint Cloud, FL 34769

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25982/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: clongo11@dermorlando.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1053533497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FARNER PL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636066",
            "telephone_number": "352-674-1710",
            "fax_number": "352-674-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.