Individual provider Active NPI

Karie S Long, PA-C

  • Physician Assistant
  • Montrose, CO
National Provider Identifier
1417235904
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004577 Issued in CO
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
483989YS6EOtherCOMEDICARE B FOR RIVER VALLEY FAMILY HEALTH CENTER

Other names 1

  • Karie Sue Pepe Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406000191 CO Practitioner - Physician Assistant 0244409803 Reassigns benefits to 1 organization

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
Olathe Community Clinic IncGroup PAC ID 5395998744, 23 clinicians

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

LicenseStateTypeSpecialty
2139AKMDPhysician Assistant
985AKMDPhysician Assistant
PA.0004577COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Community Clinic Inc. Family Medicine Past Accepting new patients
Olathe Community Clinic Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.