NPIMap

Individual provider Active NPI

Amy Laura Delong, FNP

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1184047136
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008498 Issued in NC
Practice address
116 3Rd St NW Ste 102
Hickory, NC 28601-6137
Phone
(828) 358-1162
NPI assigned
Jan 28, 2014
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 5008498 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621001637 NC Practitioner - Nurse Practitioner 4789807496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PAGroup PAC ID 6103909098, 12 clinicians

Practice addresses (Care Compare)

116 3Rd St NW
Suite 102
Hickory, NC 28601-6137
Phone (828) 855-1192

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18694SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Primary & Urgent Care PA CurrentSince Jan 15, 2018 Accepting new patients
Springs Road Consulting LLC PastSince Mar 21, 2021 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1184047136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2268",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032268",
            "telephone_number": "828-855-1192",
            "fax_number": "828-471-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD ST NW STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016137",
            "telephone_number": "828-358-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "AMY",
        "middle_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.