Individual provider Active NPI

David Sean Longley, FNP-C

  • Nurse Practitioner
  • Coleman, TX
National Provider Identifier
1265559645
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
683182 Issued in 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
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 683182 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080220000436 TX Practitioner - Nurse Practitioner 4082798764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

310 S Pecos St
Coleman, TX 76834-4159
Phone (325) 625-2135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as individual
Quality
73.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Coleman Inc CurrentSince Mar 7, 2010 Accepting new patients
Preferred Hospital Leasing Coleman, Inc. CurrentSince Mar 7, 2010 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
Bldg C
Coleman, TX 76834
Phone (325) 625-3533

310 S Pecos St
Fl 2
Coleman, TX 76834
Phone (325) 625-3500

Interoperability endpoints

  • Direct secure messaging: dlongley@coleman.securechart.com

Organizations & group practices 4

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 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1265559645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 312",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "76834",
            "telephone_number": "325-625-3533",
            "fax_number": "325-625-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST FL 2",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-3533",
            "fax_number": "325-625-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "DAVID",
        "middle_name": "SEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "683182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleman, TX

Sources for this page

Verify at the official NPI Registry.