Active NPI
Karie S Long, PA-C
- Physician Assistant
- Montrose, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004577
- Practice address
- 1010 S Rio Grande Ave
Montrose, CO 81401-4831 - Phone
- (970) 497-3333
- Fax
- (855) 299-7837
- NPI assigned
- Aug 1, 2011
- Last updated
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0004577 | CO | Primary |
| Physician Assistant | 363A00000X | 2139 | AK | |
| Physician Assistant | 363A00000X | 985 | AK |
Addresses
Primary practice location
1010 S Rio Grande Ave
Montrose, CO 81401-4831
Mailing address
PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 1
308 Main Street
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 2
1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 483989YS6E | Other | CO | MEDICARE B FOR RIVER VALLEY FAMILY HEALTH CENTER |
Other names 1
- Karie Sue Pepe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333
1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139 | AK | MD | Physician Assistant |
| 985 | AK | MD | Physician Assistant |
| PA.0004577 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olathe Community Clinic Inc. | Family Medicine | Past | Accepting new patients |
| Olathe Community Clinic Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- karie.long.1@19850.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba River Valley Family Health Center
- Federally Qualified Health Center (FQHC)
- Olathe, CO
- NPI 1770834244
Family Medicine
-
dba River Valley Family Health Center
- Federally Qualified Health Center (FQHC)
- Montrose, CO
- NPI 1245600493
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Montrose Regional Health
- General Acute Care Hospital
- Montrose, CO
- NPI 1205822186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1417235904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 529",
"city": "OLATHE",
"state": "CO",
"postal_code": "814250529",
"telephone_number": "970-323-6141",
"fax_number": "970-323-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S RIO GRANDE AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014831",
"telephone_number": "970-497-3333",
"fax_number": "855-299-7837"
}
],
"practiceLocations": [
{
"address_1": "308 Main Street",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "CO",
"postal_code": "814250529",
"country_code": "US",
"telephone_number": "970-323-6141",
"fax_number": "970-323-6117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Valley View Dr",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814163138",
"country_code": "US",
"telephone_number": "970-874-8981",
"fax_number": "855-299-7586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "KARIE",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004577",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "2139",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "985",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B FOR RIVER VALLEY FAMILY HEALTH CENTER",
"identifier": "483989YS6E",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARIE",
"last_name": "PEPE",
"middle_name": "SUE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.