Individual provider Active NPI

Wendy Sue Long

  • Nurse Practitioner
  • Virginia, MN
National Provider Identifier
1689873598
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R157109-1 Issued in MN
Practice address
1101 9TH St N
Virginia, MN 55792-2329
Phone
(218) 741-0150
NPI assigned
Jul 12, 2007
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R157109-1 MN Primary

Addresses

Primary practice location

1101 9TH St N
Virginia, MN 55792-2329

Mailing address

1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20071105000099 MN Practitioner - Nurse Practitioner 4385731538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych North PLLCGroup PAC ID 9537546841, 6 clinicians
Lakeview Behavioral Health IncGroup PAC ID 9537432307, 24 clinicians

Practice addresses (Care Compare)

1101 E 37TH St
Suite 5
Hibbing, MN 55746-2972
Phone (218) 209-2150

516 S Pokegama Ave
Grand Rapids, MN 55744-3800
Phone (218) 327-2001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R157109-1MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bois Forte Reservation Tribal Government Current Accepting new patients
Lakeview Behavioral Health Inc. CurrentSince May 23, 2022 Accepting new patients
Vermilion Pharmacy CurrentSince Jun 12, 2017 Accepting new patients
Psych North PLLC CurrentSince Nov 1, 2025 Accepting new patients
Eir Med LLC CurrentSince Nov 1, 2025 Accepting new patients
Bois Forte Reservation Tribal Government CurrentSince Jun 12, 2017 Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients

Locations

1003 E Central Entrance
Duluth, MN 55811
Phone (218) 209-2150

516 S Pokegama Ave
Grand Rapids, MN 55744
Phone (218) 327-2001

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

13071 Nett Lake Rd
Orr, MN 55771
Phone (218) 757-3295

5219 Saint John Dr
Orr, MN 55771
Phone (218) 757-3295

1610 Farm Rd S
Tower, MN 55790
Phone (218) 753-2182

1613 Farm Rd S
Tower, MN 55790
Phone (218) 753-2180

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cook HospitalCook, MN, CCN 241312 Hospital Corporate Director May 1, 2008
Cook HospitalCook, MN, CCN 24Z312 Hospital Corporate Director Oct 8, 2010
Cook Hospital & Care CenterCook, MN, CCN 245392 Skilled nursing facility Corporate Director May 1, 2008

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1689873598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329",
            "telephone_number": "218-741-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329",
            "telephone_number": "218-741-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R157109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.