Marilyn Long, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16703.1572 Issued in WY

Practice address

5000 Blackmore Rd
Casper, WY 82609-3345

Phone

(307) 233-6000

NPI assigned

Jul 1, 2016

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Central Wyoming IncGroup PAC ID 3375454705, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home and Care Home health agency, Casper, WY, CCN 537082
• Enhabit Home Health Home health agency, Casper, WY, CCN 537044
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Health Center of Central Wyoming, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casper, WY
  • NPI 1447480561
  Medicare reassignment Care Compare group NPD
• Community Health Center of Central Wyoming Inc

  dba Dubois Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Dubois, WY
  • NPI 1306136205
  NPD

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

• Eh Health Home Health of the Northwest, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Casper, WY
  • NPI 1619560471
  Care Compare affiliation
• Epsilon Health Solutions LLC

  dba Epsilon

  • Home Health Agency
  • Casper, WY
  • NPI 1437508975
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1871945832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093345",
            "telephone_number": "307-233-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093345",
            "telephone_number": "307-233-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARILYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "16703.1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lok, MOTR/L
• Melanie F Lombardi
• Abbie Long
• Amanda Grace Long
• Laura Carol Long, MSW, LCSW
• Temberly Long
• Valerie Lonie, RN
• Jennifer Loose, DC
• Candace Marie Lopez, MSW PCSW
• Lori Hicks M.Ed., LPC, LLC (Lori Hicks M.Ed., LPC)

• Family Nurse Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.