Susan Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137839 Issued in TX

Practice address

1600 11TH St
Wichita Falls, TX 76301

Phone

(940) 764-6719

NPI assigned

Jun 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score

77.42 of 100Reported as group

Quality

66.99

Promoting interoperability

100

Improvement activities

40

Cost

57.73

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
• Direct secure messaging: slong14166@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• United Regional Physician Group

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1407890775
  Medicare reassignment Care Compare group NPD
• RDM Home Medical, LLC

  dba BeyondFaith Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Graham, TX
  • NPI 1790285468
  Medicare reassignment NPD
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

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

• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1699260059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089261",
            "telephone_number": "940-764-7230",
            "fax_number": "940-764-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-764-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 11th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014300",
            "country_code": "US",
            "telephone_number": "940-764-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BON",
            "identifier": "706218",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slong14166@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "United Regional Health Care System Inc",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Johnston Lockard, LPC-S
• Erin Kate Loe, M.D.
• Africa R Logan, MA, LPC
• Lone Star Prosthetics, Wichita Falls, LLC
• Sharon Katie Long, LMT
• Joel M Lopacinski, D.C.
• Michele L Lopacinski, PT
• Deelynn Lopez, LVN
• McKenzie Faith Lopez, LVN
• Loren Mathes Chiropractic Care Centers Inc.

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.