Individual provider Active NPI

Melinda Long, APRN

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1194292649
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012848 Issued in KY
Practice address
10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742
Phone
(270) 887-0270
Fax
(270) 886-3969
NPI assigned
Nov 1, 2018
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 3012848 KY Primary

Addresses

Primary practice location

10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742

Mailing address

1717 High St Ste 2B
Hopkinsville, KY 42240-6300
Phone (270) 887-0270

Other practice location 1

250 Clarks Store Snkng Frk Rd
Cerulean, KY 42215-7497
Phone (270) 339-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20181218003032 KY Practitioner - Nurse Practitioner 3072858190 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
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

10755 Eagle Way
Suite 100
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients

Locations

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1717 High St
Ste 2B
Hopkinsville, KY 42240
Phone (270) 887-0270

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

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 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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1194292649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 2B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 EAGLE WAY STE 100",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408742",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Clarks Store Snkng Frk Rd",
            "address_purpose": "LOCATION",
            "city": "Cerulean",
            "state": "KY",
            "postal_code": "422157497",
            "country_code": "US",
            "telephone_number": "270-339-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MELINDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.