Individual provider Active NPI

Michael Longwell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1700558046
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
118804 Issued in WV
Practice address
12 Elm Ter
Wheeling, WV 26003-5064
Phone
(304) 905-8695
NPI assigned
Oct 5, 2021
Last updated
Mar 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 118804 WV Primary

Addresses

Primary practice location

12 Elm Ter
Wheeling, WV 26003-5064

Mailing address

608 Pine Valley Dr
Steubenville, OH 43953-3301
Phone (304) 374-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240701000056 WV Practitioner - Nurse Practitioner 0749724813 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
Telehealth
Offers telehealth services
Group practices
Enlighten Health Care LLCGroup PAC ID 6800289372, 7 clinicians

Practice addresses (Care Compare)

12 Elm Ter
Wheeling, WV 26003-5064
Phone (304) 374-5603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enlighten Health Care, LLC Psychiatric/Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Access Behavioral LLC PastSince Oct 1, 2021 Accepting new patients
Access Ohio, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

12 Elm Ter
Wheeling, WV 26003
Phone (304) 374-5603

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, 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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1700558046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 PINE VALLEY DR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533301",
            "telephone_number": "304-374-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELM TER",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035064",
            "telephone_number": "304-905-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "118804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.