Amy Laura Delong, FNP
Individual provider Active NPI Family Nurse Practitioner · Hickory, NC
NPI 1184047136 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1184047136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5008498 (NC)
- Practice address
- 116 3Rd St NW Ste 102
Hickory, NC 28601-6137 - Phone
- (828) 358-1162
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bowen Primary and Urgent Care PA
Practice addresses (Care Compare)
116 3Rd St NW
Suite 102
Hickory, NC 28601-6137
Phone (828) 855-1192
Hospital & facility affiliations
- Liberty Home Care II, LLC
- Enhabit Home Health
- Liberty Home Care
- Liberty Home Care
- First Health Home Care - Richmond
- Liberty Home Care II, LLC
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621001637 | NC | Practitioner - Nurse Practitioner | 4789807496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Primary & Urgent Care PA | Current |
Accepting new patients | |
| Springs Road Consulting LLC | Past |
Accepting new patients |
Locations
116 3rd St NE
Ste 102
Hickory, NC 28601
Phone (828) 855-1192
116 3rd St NW
Hickory, NC 28601
Phone (828) 855-1192
116 3rd St NW
#102
Hickory, NC 28601
Phone (828) 855-1192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5008498 | NC | Yes |
Addresses
Primary practice location
116 3Rd St NW Ste 102
Hickory, NC 28601-6137
Mailing address
PO Box 2268
Hickory, NC 28603-2268
Phone (828) 855-1192
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790246A | Medicaid | NC |
Other providers in Hickory, NC
- Geoffrey Donald Deleary
- Donna Hope Dell
- Cameron Beau Dellinger
- Christopher W. Dellinger
- Katherine D Dellinger
- Delores L. Hammer, DDS
- Lynn M Delserone
- Melike Demirozu
- Brittney Lee Demuth
- Barbara J Denison
All providers in Hickory, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.