Individual provider Active NPI

Jessica Long, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1215647078
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023302 Issued in FL
Practice address
3855 E Silver Springs Blvd Ste 105
Ocala, FL 34470-4929
Phone
(352) 234-3604
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 11023302 FL Primary

Addresses

Primary practice location

3855 E Silver Springs Blvd Ste 105
Ocala, FL 34470-4929

Mailing address

2450 E Highway 316
Citra, FL 32113-4573
Phone (352) 342-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221219002962 FL Practitioner - Nurse Practitioner 0941679674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023302FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Lung & Critical Care Assocates Inc CurrentSince Dec 1, 2022 Accepting new patients
Bello Mid-Level Inc. PastSince Apr 1, 2023 Accepting new patients

Locations

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

Interoperability endpoints

  • Direct secure messaging: jessica.long@385299745144836.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1215647078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E HIGHWAY 316",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321134573",
            "telephone_number": "352-342-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 E SILVER SPRINGS BLVD STE 105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704929",
            "telephone_number": "352-234-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.