Individual provider Active NPI

Jessica Marie Long

  • Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1679448948
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
324294 Issued in AZ
Practice address
10370 N la Canada Dr
Oro Valley, AZ 85737-7216
Phone
(520) 544-4100
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN140271 AZ
Nurse Practitioner 363L00000X 324294 AZ Primary

Addresses

Primary practice location

10370 N la Canada Dr
Oro Valley, AZ 85737-7216

Mailing address

10370 N la Canada Dr
Oro Valley, AZ 85737-7216
Phone (520) 544-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251216002851 AZ Practitioner - Nurse Practitioner 1153816244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

10370 N la Canada Dr
Suite 150
Oro Valley, AZ 85737-7270
Phone (520) 202-7770

Hospital & facility affiliations

  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN140271AZMDRegistered Nurse
324294AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Jan 1, 2026 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

10370 N La Canada Dr
Ste 150
Tucson, AZ 85737
Phone (520) 544-4100

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1679448948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 N LA CANADA DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377216",
            "telephone_number": "520-544-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 N LA CANADA DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377216",
            "telephone_number": "520-544-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN140271",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "324294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.