Annette A. Long, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

595695 Issued in TX

Practice address

9410 NE Zac Lentz Pkwy
Victoria, TX 77904-3171

Phone

(361) 575-4524

Fax

(361) 575-4534

NPI assigned

Jul 29, 2011

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

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Campo Memorial HospitalGroup PAC ID 6406021765, 27 clinicians

West Wharton County Hospital DistrictGroup PAC ID 7517952047, shared by 93 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Campo Memorial Hospital Hospital, El Campo, TX, CCN 450694

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/elcampo-b0e6e0bc
• Direct secure messaging: annette.long@1338.chartlogic.direct-ci.com

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.

• El Campo Memorial Hospital

  • Rural Health Clinic/Center
  • El Campo, TX
  • NPI 1427334077
  Medicare reassignment Care Compare group NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Georgetown, TX
  • NPI 1922289412
  Medicare reassignment NPD
• El Campo Memorial Hospital

  • General Acute Care Hospital
  • El Campo, TX
  • NPI 1003192311
  NPD
• El Campo Memorial Hospital

  • Family Medicine Physician
  • El Campo, TX
  • NPI 1275332066
  NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1154472967
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Wellmedicine PLLC

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1558445833
  NPD (past)
• West Wharton County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • El Campo, TX
  • NPI 1497894810
  NPD (past)

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

• El Campo Memorial Hospital

  • General Acute Care Hospital
  • El Campo, TX
  • NPI 1003192311
  Care Compare affiliation

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1760760334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5099",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779035099",
            "telephone_number": "361-575-4524",
            "fax_number": "361-575-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043171",
            "telephone_number": "361-575-4524",
            "fax_number": "361-575-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANNETTE",
        "middle_name": "A.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "595695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Llarena, DDS
• Juan A Llompart, MD
• Lone Star Emergency Associates LLC
• Lone Star Spine and Injury Center, PLLC
• Long Health Family Practice, LLC
• Janice M Longoria, SLP
• Alexis Lopez
• Holly Lopez, MASTER SOCIAL WORKER
• Jennifer Thuy VI Lopez, FNP-BC
• Loren C. Owensby MD PA

• Nurse Practitioner in Victoria, TX
• Providers in Victoria, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.