Individual provider Active NPI

Melissa Long, NP-C

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1063144467
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2333721 Issued in MA
Practice address
85 Prescott St Ste 403
Worcester, MA 01605-2671
Phone
(508) 753-7259
NPI assigned
Jun 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2333721 MA
Nurse Practitioner 363L00000X RN2333721 MA Primary
Registered Nurse 163W00000X 2333721 MA

Addresses

Primary practice location

85 Prescott St Ste 403
Worcester, MA 01605-2671

Mailing address

7 Goodnow Rd
Princeton, MA 01541-1602

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mlon286@regiscollege.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230907002365 MA Practitioner - Nurse Practitioner 4880058973 Reassigns benefits to 1 organization

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
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

85 Prescott St
Suite 403
Worcester, MA 01605-2671
Phone (508) 753-7259

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2333721MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. CurrentSince May 15, 2023 Accepting new patients
Wayne B Glazier MD PC CurrentSince May 7, 2023 Accepting new patients

Locations

813 Southbridge St
Auburn, MA 01501
Phone (508) 784-1278

159 Union St
Ste 101
Marlborough, MA 01752
Phone (508) 481-0246

85 Prescott St
Ste 403
Worcester, MA 01605
Phone (507) 753-7259

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Interoperability endpoints

  • Direct secure messaging: melissa.long.1@626.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1063144467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GOODNOW RD",
            "city": "PRINCETON",
            "state": "MA",
            "postal_code": "015411602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST STE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052671",
            "telephone_number": "508-753-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MELISSA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2333721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2333721",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2333721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mlon286@regiscollege.edu",
            "affiliation": "N",
            "address_1": "7 Goodnow Rd",
            "city": "Princeton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015411602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.