Individual provider Active NPI

Amy Delong, APRN

  • Nurse Practitioner
  • Ripley, WV
National Provider Identifier
1871035477
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
79882 Issued in WV
Practice address
158 Pinnell St
Ripley, WV 25271-9101
Phone
(304) 372-4402
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 79882 WV Primary

Addresses

Primary practice location

158 Pinnell St
Ripley, WV 25271-9101

Mailing address

158 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-4402

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
I20170124002551 WV Practitioner - Nurse Practitioner 6709168834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians

Practice addresses (Care Compare)

504 Washington St
Ravenswood, WV 26164-1732
Phone (304) 373-1476

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Mar 17, 2025 Accepting new patients
James Gaal DO PastSince Dec 1, 2016 Accepting new patients
Community Health Association Past Accepting new patients

Locations

504 Washington St
Ravenswood, WV 26164
Phone (304) 373-1476

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

200 Academy Dr
Ripley, WV 25271
Phone (304) 372-1050

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1871035477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-372-4402",
            "fax_number": "304-372-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PINNELL ST",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719101",
            "telephone_number": "304-372-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "79882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.