Individual provider Active NPI

Christine L. Long, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1437345204
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123805 Issued in TX
Practice address
6204 Balcones Dr
Austin, TX 78731-4214
Phone
(512) 427-9400
Fax
(512) 342-2723
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 835115 TX
Nurse Practitioner 363L00000X RN135873 GA
Family Nurse Practitioner 363LF0000X AP123805 TX Primary

Addresses

Primary practice location

6204 Balcones Dr
Austin, TX 78731-4214

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 998-8000

Other practice location 1

1615 Hospital Pkwy
Suite 300
Bedford, TX 76022-5934
Phone (817) 359-9000

Other identifiers 3

IdentifierTypeStateIssuer
323945101MedicaidTX
P01843064OtherTXRAILROAD
428863658AMedicaidGA

Other names 1

  • Mrs. Christine L. Nugent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080102000335 GA Practitioner - Nurse Practitioner 3779663893 Reassigns benefits to 1 organization
I20130829000512 TX Practitioner - Nurse Practitioner 3779663893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone (817) 662-0008

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN135873GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jan 1, 2013 Accepting new patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Jan 1, 2013 Accepting new patients
Texas Oncology PA CurrentSince Jun 17, 2013 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Jun 17, 2013 Accepting new patients
Texas Oncology PA Current Accepting new patients
NSH Cancer Institute Professional Services G, LLC Past Accepting new patients
Northside Imaging LLC Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

6300 Hospital Pkwy
Ste 300
Johns Creek, GA 30097
Phone (770) 623-8965

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771

3070 College St
Ste 301
Beaumont, TX 77701
Phone (409) 813-1686

1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000

1615 Hospital Pkwy
Ste 300
Bedford, TX 76022
Phone (817) 267-4201

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

10970 Shadow Creek Pkwy
Ste 280
Pearland, TX 77584
Phone (713) 436-7500

6807 Emmett F Lowry Expy
Ste 304
Texas City, TX 77591
Phone (409) 935-8755

Interoperability endpoints

  • Direct secure messaging: christine.long@txo.ikm.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1437345204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-998-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314214",
            "telephone_number": "512-427-9400",
            "fax_number": "512-342-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Hospital Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760225934",
            "country_code": "US",
            "telephone_number": "817-359-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTINE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "835115",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN135873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323945101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01843064",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428863658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NUGENT",
            "middle_name": "L.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.