Individual provider Active NPI

Kelly A Long, NP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1871808303
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
48313 Issued in OK
Practice address
2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone
(403) 303-7555
NPI assigned
Aug 9, 2010
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 48313 OK Primary

Addresses

Primary practice location

2130 SW 59TH St
Oklahoma City, OK 73119-7025

Mailing address

508 W Vandament Ave Ste 100
Yukon, OK 73099-4665
Phone (405) 350-8100

Other practice location 1

508 W Vandament Ave Ste 100
Yukon, OK 73099-4665
Phone (405) 350-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101112000958 OK Practitioner - Nurse Practitioner 5395930564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians
Healthcare One Associates PLLCGroup PAC ID 4688848369, 23 clinicians

Practice addresses (Care Compare)

2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone (405) 303-7555

508 W Vandament Ave
Suite 100
Yukon, OK 73099-4665
Phone (405) 350-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare One Associates PLLC CurrentSince Aug 27, 2025 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family CurrentSince Dec 16, 2024 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

1900 S Country Club Rd
El Reno, OK 73036
Phone (405) 295-2900

2130 SW 59th St
Oklahoma City, OK 73119
Phone (403) 303-7555

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

508 W Vandament Ave
Ste 100
Yukon, OK 73099
Phone (405) 350-0561

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1871808303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994665",
            "telephone_number": "405-350-8100",
            "fax_number": "405-350-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197025",
            "telephone_number": "403-303-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 W Vandament Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730994665",
            "country_code": "US",
            "telephone_number": "405-350-8100",
            "fax_number": "405-350-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "48313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.