Justin Allen Long, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1502009 Issued in KS

Practice address

501 S Santa Fe Ave, Suite 200
Salina, KS 67401

Phone

(785) 452-7562

Fax

(785) 452-7105

NPI assigned

Nov 3, 2009

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Ellsworth County Medical Center Hospital, Ellsworth, KS, CCN 171327

Merit-based Incentive Payment System (MIPS)

Final score

85.42 of 100Reported as group

Quality

79.94

Promoting interoperability

100

Improvement activities

40

Cost

71.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.long@srhcdirect.com

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.

• Salina Regional Health Center, Inc

  dba Physician Practice Management

  • Surgery Physician
  • Salina, KS
  • NPI 1619952785
  Medicare reassignment Care Compare group
• Salina Regional Health Center Inc

  dba Salina Regional Pain Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Salina, KS
  • NPI 1356203715
  NPD
• Salina Regional Health Center, Inc.

  • Family Medicine Physician
  • Salina, KS
  • NPI 1508109299
  NPD
• Comcare, P.a

  • Family Medicine Physician
  • Salina, KS
  • NPI 1124083373
  NPD (past)
• Rocky Mountain Cardiovascular Surgeons, P.C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Aurora, CO
  • NPI 1639220221
  NPD (past)
• Starr-Wood Cardiac Group of Portland PC

  dba NorthStarr Cardiothoracic Surgery

  • Specialist
  • Portland, OR
  • NPI 1386730026
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ellsworth County Medical Center

  • Critical Access Hospital
  • Ellsworth, KS
  • NPI 1083614028
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1447587027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE, SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE, SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7562",
            "fax_number": "785-452-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02009",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA150409",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1502009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201166150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daytha E Lindburg, PA
• Lindsborg Community Hospital Association (Lindsborg Community Hospital Clinic)
• Elizabeth Linenberger, PHARMD
• Alyssa Linn
• Madison Elaine Livengood, PHARMD
• Marissa Jo Long, LCPC
• Myra C Long, MD
• Rebecca Diane Loomis, P.A.
• Andrew John Lopata, PA
• Luis Alfredo Lopez, M.D.

• Surgical Physician Assistant in Salina, KS
• Providers in Salina, KS by specialty
• Surgical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.

Verify at the official NPI Registry.