Individual provider Active NPI

Emily Claire Long, PA

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1215707591
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
64545 Research Rd
Bend, OR 97703-8583
Phone
(541) 848-7822
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA227573 OR
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

64545 Research Rd
Bend, OR 97703-8583

Mailing address

380 9TH St
Florence, OR 97439-9470
Phone (541) 848-7822

Other practice location 1

380 9th St
Florence, OR 97439-9470
Phone (541) 997-7134

Other practice location 2

390 9th St
Florence, OR 97439-9470
Phone (541) 997-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OR2 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
I20240626000402 KY Practitioner - Physician Assistant 7315481843 Reassigns benefits to 1 organization
I20251023003973 OR Practitioner - Physician Assistant 7315481843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

7683 Mall Rd
Unit B
Florence, KY 41042-1590
Phone (859) 817-1320

Hospital & facility affiliations

  • Sacred Heart Home Health Home health agency, Springfield, OR, CCN 387023
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Lower Umpqua Hospital District Hospital, Reedsport, OR, CCN 381311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA227573ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Oct 8, 2025 Accepting new patients
Peacehealth CurrentSince Oct 8, 2025 Accepting new patients

Locations

390 9th St
Florence, OR 97439
Phone (541) 997-7134

400 9th St
Florence, OR 97439
Phone (541) 997-8412

380 9th St
Florence, OR 97439
Phone (541) 997-7134

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 3

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215707591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399470",
            "telephone_number": "541-848-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64545 RESEARCH RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038583",
            "telephone_number": "541-848-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399470",
            "country_code": "US",
            "telephone_number": "541-997-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399470",
            "country_code": "US",
            "telephone_number": "541-997-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA227573",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.