Individual provider Active NPI

Betty Delong, N.P.

  • Nurse Practitioner
  • Coldwater, MI
National Provider Identifier
1104231034
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704177255 Issued in MI
Practice address
358 E Chicago St
Suite 203
Coldwater, MI 49036-2072
Phone
(517) 278-9364
Fax
(517) 278-3966
NPI assigned
Jun 30, 2014
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704177255 MI Primary

Addresses

Primary practice location

358 E Chicago St
Suite 203
Coldwater, MI 49036-2072

Mailing address

4441 Capital Ave SW
Battle Creek, MI 49015-9359
Phone (269) 788-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140829000330 MI Practitioner - Nurse Practitioner 1658599899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince Nov 1, 2016 Accepting new patients
Community Health Center of Branch County CurrentSince Mar 1, 2020 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Nov 1, 2016 Accepting new patients
Community Health Center of Branch County CurrentSince Mar 1, 2020 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Past Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

4441 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 788-6888

358 E Chicago St
Ste 203
Coldwater, MI 49036
Phone (517) 278-2959

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Interoperability endpoints

  • Direct secure messaging: bdelonghackworth152554@direct.promedica.org

Organizations & group practices 9

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 5

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1104231034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159359",
            "telephone_number": "269-788-6888",
            "fax_number": "269-788-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E CHICAGO ST",
            "address_2": "SUITE 203",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362072",
            "telephone_number": "517-278-9364",
            "fax_number": "517-278-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "BETTY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704177255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.