Individual provider Active NPI

Betty Marie Long, MSN, DNP, FPMHNP

  • Family Nurse Practitioner
  • Moberly, MO
National Provider Identifier
1821331984
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013028541 Issued in MO
Practice address
210 N Williams St Unit C
Moberly, MO 65270-1583
Phone
(660) 263-7651
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2013028541 MO
Family Nurse Practitioner 363LF0000X 2013028541 MO Primary

Addresses

Primary practice location

210 N Williams St Unit C
Moberly, MO 65270-1583

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

Other practice location 2

1 Healthcare Pl
Bowling Green, MO 63334-3602
Phone (573) 603-1460

Other practice location 3

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 4

4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460

Other practice location 5

301 W Martin St
Cairo, MO 65239-1006
Phone (573) 603-1460

Other names 1

  • Betty Marie Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150813011220 MO Practitioner - Nurse Practitioner 8921313305 Reassigns benefits to 2 organizations
I20230424000885 IL Practitioner - Nurse Practitioner 8921313305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

210 N Williams
Burrell Behavioral Health
Moberly, MO 65720-1583
Phone (660) 263-7651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Oct 28, 2022 Accepting new patients
Burrell, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Preferred Family Healthcare, Inc. Current Accepting new patients
Burrell, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Oct 28, 2022 Accepting new patients

Locations

639 York St
Rm 212
Quincy, IL 62301
Phone (217) 222-6227

428 S 36th St
Quincy, IL 62301
Phone (217) 224-6300

418 S 36th St
Quincy, IL 62301
Phone (217) 224-6300

1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111

301 W Martin St
Cairo, MO 65239
Phone (660) 263-2788

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342

3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900

900 E Laharpe St
Kirksville, MO 63501

210 N Williams St
Unit C
Moberly, MO 65270
Phone (660) 263-7651

210 N Williams St
Moberly, MO 65270
Phone (660) 263-7651

1625 Gratz Brown St
Moberly, MO 65270

400 Salisbury St
Montgomery City, MO 63361
Phone (573) 564-2495

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

1300 E Bradford Pkwy
#H
Springfield, MO 65804

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

2114 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 876-4211

116 W 7th Ave
Ste 222
Stillwater, OK 74074
Phone (405) 743-2945

6440 S Lewis Ave
Ste 2200
Tulsa, OK 74136
Phone (417) 761-5214

Interoperability endpoints

  • Direct secure messaging: betty.long.p1@direct.pfh.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1821331984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WILLIAMS ST UNIT C",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701583",
            "telephone_number": "660-263-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013670",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthcare Pl",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633343602",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "fax_number": "573-777-7505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 McMasters Ave",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012244",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Martin St",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "MO",
            "postal_code": "652391006",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BETTY",
        "middle_name": "MARIE",
        "credential": "MSN, DNP, FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2013028541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013028541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "WILSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.