Individual provider Active NPI

Makenna Rae Long

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1750115515
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000010-NP Issued in CO
Practice address
6801 S Yosemite St
Centennial, CO 80112-1406
Phone
(303) 773-9000
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 APN.1000010-NP CO Primary

Addresses

Primary practice location

6801 S Yosemite St
Centennial, CO 80112-1406

Mailing address

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240921000447 CO Practitioner - Nurse Practitioner 3476094178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Veros Clinical Services LLCGroup PAC ID 1254712359, 14 clinicians
Goodness Health, LLCGroup PAC ID 1850694985, 61 clinicians

Practice addresses (Care Compare)

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

925 N Lincoln St
Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veros Clinical Services LLC Current Accepting new patients
Ma Bo Inc CurrentSince Oct 20, 2025 Accepting new patients
Goodness Health, LLC CurrentSince Nov 18, 2025 Accepting new patients
Veros Clinical Services LLC CurrentSince Sep 10, 2024 Accepting new patients
Veros Clinical Services LLC CurrentSince Sep 10, 2024 Accepting new patients
Goodness Health, LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

15470 E Smoky Hill Rd
Aurora, CO 80015
Phone (303) 224-4687

36 S 18th Ave
Ste D
Brighton, CO 80601
Phone (801) 485-5055

6801 S Yosemite St
Centennial, CO 80112
Phone (303) 224-4703

1551 Professional Ln
Unit 170
Longmont, CO 80501
Phone (303) 224-4711

3240 E 104th Ave
Thornton, CO 80233
Phone (303) 224-4700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73776

Organizations & group practices 6

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750115515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-773-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-773-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MAKENNA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000010-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.