Yolanda Patrice Long, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

905597 Issued in MS

Practice address

3702 Jefferson Ave
Pascagoula, MS 39563-6218

Phone

(228) 205-4592

Fax

(228) 205-4593

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• George Regional Health System Hospital, Lucedale, MS, CCN 250036
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

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 and National Provider Directory roles.

• River City Primary Care and Wellness Center

  • Multi-Specialty Clinic/Center
  • Pascagoula, MS
  • NPI 1669231676
  Medicare reassignment NPD Authorized official
• Eugene Kevin Ohea Dr E Kevin Ohea

  • Family Medicine Physician
  • Lucedale, MS
  • NPI 1184136962
  NPD (past) Authorized official
• Pathway Personal Care Home

  • Assisted Living Facility
  • Moss Point, MS
  • NPI 1649675729
  NPD (past) Authorized official
• Homedica of Mississippi, LLC

  • Case Manager/Care Coordinator
  • Gulfport, MS
  • NPI 1841622628
  NPD

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

• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1912302159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROAD AVE STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012416",
            "telephone_number": "544-414-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 JEFFERSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395636218",
            "telephone_number": "228-205-4592",
            "fax_number": "228-205-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "YOLANDA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "905597",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-099664",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R866997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Lindsey, D.O.
• Cole Little, MD
• Taylor Kathleen Little
• Christie Ann Lockett, CSS
• Curran Michael Long, LPTA
• Pamela Loper
• Madison Lott
• Chase Lovelace
• Darienne Lowery
• Alvervica Whitfield Lucas, D.D.S.

• Primary Care Nurse Practitioner in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.