Johnna Nicco Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0997169-NP Issued in CO

Practice address

101 Greenhorn Ave
Eagle, CO 81631-6040

Phone

(970) 389-7353

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vail Health Hospital Hospital, Vail, CO, CCN 060096

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnna.long.1@8558.direct.athenahealth.com
• Direct secure messaging: johnna.long.1@9028.direct.athenahealth.com

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.

• Valley View Hospital Association

  dba The Heart and Vascular Center

  • Cardiovascular Disease Physician
  • Glenwood Springs, CO
  • NPI 1437271285
  NPD
• Valley View Hospital Association

  dba Internal Medicine at Valley View

  • Internal Medicine Physician
  • Glenwood Springs, CO
  • NPI 1669857116
  NPD (past)
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133
  NPD (past)

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

• Vail Clinic Inc

  dba Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  dba Beaver Creek Medical Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  dba Shaw Cancer Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1447918800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816310181",
            "telephone_number": "970-389-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENHORN AVE",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816316040",
            "telephone_number": "970-389-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JOHNNA",
        "middle_name": "NICCO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997169-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Shaeffer Consulting, LLC
• Michael Lazar, LCSW
• Kristine Leslie, LMT
• Paulanthony Leto
• Bethanie Nelson Lindal, MSW. LCSW, CSPT
• Baylee Lyght
• Jessica Lynn Manuele, RN
• Monica McCarroll, PT
• Krista C McClinton, MA
• Hallie McLaughlin, RDH

• Family Nurse Practitioner in Eagle, CO
• Providers in Eagle, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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; Opt Out Affidavits.
• 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.