Amber S Long, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0001423 Issued in CO

Practice address

3701 S Clarkson St Ste 400
Englewood, CO 80113-3960

Phone

(303) 761-7797

Fax

(303) 789-2995

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in CO

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

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: al4832@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Englewood, CO
  • NPI 1962968966
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1801669965
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Asarch Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
  • NPI 1417001454
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1902858095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Routt St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282271",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2356 Meadows Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098410",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMBER",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0001423",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AL4832@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2356 Meadows Blvd Ste 340",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801098410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AL4832@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "255 S Routt St Ste 350",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802282271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AL4832@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3701 S Clarkson St Ste 400",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801133960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antranique Marche Loggins
• Diahn E. Lohman
• Jessica London
• Carly Allison Loner, MD
• Rebekah Jane Long-Pigue, DPT
• Joshua William Long, M.D.
• Allison Lopez, M.ED., BCBA
• Heather Lopez
• Justin Lopez
• Kandyce Lopez, RT

• Physician Assistant in Englewood, CO
• Providers in Englewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.