Individual provider Active NPI

Katherine Elizabeth Long, ARPN FNP-C

  • Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1871218271
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
214040 Issued in AR
Practice address
4600 Mercy LN Ste 140
Springdale, AR 72762-3070
Phone
(479) 751-8440
Fax
(479) 751-8417
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 214040 AR Primary

Addresses

Primary practice location

4600 Mercy LN Ste 140
Springdale, AR 72762-3070

Mailing address

4600 Mercy LN Ste 140
Springdale, AR 72762-3070
Phone (479) 751-8440

Other practice location 1

4600 Mercy Ln Ste 130
Springdale, AR 72762-3070
Phone (479) 751-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20221101001741 AR Practitioner - Nurse Practitioner 7113394347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

4600 Mercy LN
Suite 140
Springdale, AR 72762-3070
Phone (479) 347-3905

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214040ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 18, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 1, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 18, 2022 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

4600 Mercy Ln
Ste 140
Springdale, AR 72762
Phone (479) 347-3905

4600 Mercy Ln
Ste 130
Springdale, AR 72762
Phone (479) 347-3800

Interoperability endpoints

  • Direct secure messaging: klong1132078@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1871218271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MERCY LN STE 140",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623070",
            "telephone_number": "479-751-8440",
            "fax_number": "479-751-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MERCY LN STE 140",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623070",
            "telephone_number": "479-751-8440",
            "fax_number": "479-751-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Mercy Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727623070",
            "country_code": "US",
            "telephone_number": "479-751-8440",
            "fax_number": "479-751-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "ARPN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "214040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.