Individual provider Active NPI

Karen Alishya Longfellow, F.N.P.

  • Family Nurse Practitioner
  • Gardiner, ME
National Provider Identifier
1295049187
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP101048 Issued in ME
Practice address
5 Central Maine Xing
Gardiner, ME 04345-6320
Phone
(207) 582-6608
Fax
(207) 582-2258
NPI assigned
Aug 3, 2010
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP101048 ME Primary
Family Nurse Practitioner 363LF0000X AP101048 ME

Addresses

Primary practice location

5 Central Maine Xing
Gardiner, ME 04345-6320

Mailing address

44 Mathews Ave
Waterville, ME 04901-5233
Phone (207) 788-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20101007000010 ME Practitioner - Nurse Practitioner 2961694104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

5 Central Maine Xing
Gardiner, ME 04345-6320
Phone (207) 582-6608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP101048MEMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: karenlongfellow@mgh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1295049187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MATHEWS AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015233",
            "telephone_number": "207-788-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTRAL MAINE XING",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043456320",
            "telephone_number": "207-582-6608",
            "fax_number": "207-582-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGFELLOW",
        "first_name": "KAREN",
        "middle_name": "ALISHYA",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP101048",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP101048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, ME

Sources for this page

Verify at the official NPI Registry.