Individual provider Active NPI

Amber D Long, APRN

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1114491966
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006037 Issued in AR
Practice address
2450 Batesville Blvd
Batesville, AR 72501
Phone
(870) 569-4934
Fax
(870) 569-4948
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 A006037 AR Primary

Addresses

Primary practice location

2450 Batesville Blvd
Batesville, AR 72501

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

1375 Nettleton Ave
Thayer, MO 65791
Phone (417) 264-7136

Other practice location 2

1375 Nettleton Ave
Thayer, MO 65791
Phone (417) 264-7136

Other identifiers 1

IdentifierTypeStateIssuer
233151758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320000811 AR Practitioner - Nurse Practitioner 7214277706 Reassigns benefits to 1 organization
I20190717002500 MO Practitioner - Nurse Practitioner 7214277706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sills Dermatology PLLCGroup PAC ID 0042595985, 4 clinicians

Practice addresses (Care Compare)

1003 Windover Rd
Jonesboro, AR 72401-6007
Phone (870) 336-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.34 of 100Reported as group
Quality
52.44
Promoting interoperability
55
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Jun 26, 2019 Accepting new patients
Sills Dermatology, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Ozarks Medical Center CurrentSince Jun 26, 2019 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

724 N Spring St
#C
Harrison, AR 72601
Phone (870) 743-2448

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

520 N Pine St
Ste B
Harrison, AR 72601
Phone (870) 741-0131

114 E Crandall Ave
#C
Harrison, AR 72601
Phone (870) 741-2299

1003 Windover Rd
Jonesboro, AR 72401
Phone (870) 336-1600

631 W Court St
Paragould, AR 72450
Phone (870) 336-1600

1375 Nettleton Ave
Thayer, MO 65791
Phone (417) 264-7136

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: along@sillsderm.emadirect.md
  • Direct secure messaging: amberlong@omcmo.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1114491966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 BATESVILLE BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-569-4934",
            "fax_number": "870-569-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Nettleton Ave",
            "address_purpose": "LOCATION",
            "city": "Thayer",
            "state": "MO",
            "postal_code": "65791",
            "country_code": "US",
            "telephone_number": "417-264-7136",
            "fax_number": "417-264-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 Nettleton Ave",
            "address_purpose": "LOCATION",
            "city": "Thayer",
            "state": "MO",
            "postal_code": "65791",
            "country_code": "US",
            "telephone_number": "417-264-7136",
            "fax_number": "417-264-7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233151758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.