Individual provider Active NPI

June Long, NP-C

  • Family Nurse Practitioner
  • Mooresville, IN
National Provider Identifier
1518412832
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006449A Issued in IN
Practice address
115 Fields St
Mooresville, IN 46158
Phone
(317) 497-2193
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006449A IN Primary

Addresses

Primary practice location

115 Fields St
Mooresville, IN 46158

Mailing address

6019 Epperson Dr
Indianapolis, IN 46221-4607
Phone (317) 850-1332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlong168594@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170306001783 IN Practitioner - Nurse Practitioner 8527340272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1424 S Rangeline Rd
Carmel, IN 46032-2934
Phone (317) 571-1176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2017 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1424 S Rangeline Rd
Carmel, IN 46032
Phone (317) 571-1176

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

461 N Town Center Rd
Mooresville, IN 46158
Phone (317) 584-3255

115 Fields St
Mooresville, IN 46158
Phone (317) 834-6678

Interoperability endpoints

  • Direct secure messaging: jlong168594@ecommunitydirect.com

Organizations & group practices 3

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1518412832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 EPPERSON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214607",
            "telephone_number": "317-850-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FIELDS ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "46158",
            "telephone_number": "317-497-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JUNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006449A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlong168594@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "115 Fields St",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.