David Sean Longley, FNP-C
Individual provider Active NPI Nurse Practitioner · Coleman, TX
NPI 1265559645 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1265559645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 683182 (TX)
- Practice address
- 310 S Pecos St FL 2
Coleman, TX 76834-4159 - Phone
- (325) 625-3533
- Fax
- (325) 625-3477
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Preferred Hospital Leasing Coleman Inc
Practice addresses (Care Compare)
310 S Pecos St
Coleman, TX 76834-4159
Phone (325) 625-2135
Hospital & facility affiliations
- Coleman County Medical Center Company
- Hendrick Medical Center
- Hendrick Medical Center Brownwood
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.55 of 100
- Quality
- 73.2
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20080220000436 | TX | Practitioner - Nurse Practitioner | 4082798764 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Hospital Leasing Coleman, Inc. | Current |
Accepting new patients | |
| Preferred Hospital Leasing Coleman Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Coleman, Inc. | Current | Accepting new patients | |
| Preferred Hospital Leasing Coleman, Inc. | Past | Accepting new patients |
Locations
310 S Pecos St
Coleman, TX 76834
Phone (325) 625-2135
310 S Pecos St
Fl 2
Coleman, TX 76834
Phone (325) 625-3500
310 S Pecos St
Bldg C
Coleman, TX 76834
Phone (325) 625-3533
Interoperability endpoints
- dlongley@coleman.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 683182 | TX | Yes |
Addresses
Primary practice location
310 S Pecos St FL 2
Coleman, TX 76834-4159
Mailing address
P.O. Box 312
Coleman, TX 76834
Phone (325) 625-3533
Other providers in Coleman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. 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.