Active NPI
Allan Louis Long, CRNA
- Certified Registered Nurse Anesthetist
- Fort Wainwright, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN521826L
- Practice address
- 1060 Gaffney Rd Stop 7400
Fort Wainwright, AK 99703-5007 - Phone
- (907) 361-5532
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 116420 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | RN521826L | PA | Primary |
Addresses
Primary practice location
1060 Gaffney Rd Stop 7400
Fort Wainwright, AK 99703-5007
Mailing address
2505 Allen Adale Rd
Fairbanks, AK 99709-2581
Phone (301) 300-2077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.86 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN521826L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Valley Clinic LLC | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Anesthesia Consultants of Fairbanks LLC | Current | Accepting new patients | |
| Tanana Valley Clinic LLC | Current | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263
122 1st Ave
Ste 106
Fairbanks, AK 99701
1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806
Interoperability endpoints
- allan.long.1@15989.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Anesthesiology Physician
- Fairbanks, AK
- NPI 1285272260
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1073081485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770533317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ALLEN ADALE RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997092581",
"telephone_number": "301-300-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD STOP 7400",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "997035007",
"telephone_number": "907-361-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ALLAN",
"middle_name": "LOUIS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "116420",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN521826L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.