Individual provider Active NPI

Catherine Elizabeth Long, FNP

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1932828779
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022033813 Issued in MO
Practice address
1000 5TH Ave
Saint Joseph, MO 64505-2111
Phone
(816) 233-3338
NPI assigned
Aug 24, 2022
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 2022033813 MO Primary

Addresses

Primary practice location

1000 5TH Ave
Saint Joseph, MO 64505-2111

Mailing address

1000 5TH Ave
Saint Joseph, MO 64505-2111
Phone (816) 233-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231016000401 MO Practitioner - Nurse Practitioner 2961868252 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
Group practices
Northwest Health Services IncGroup PAC ID 7113835174, 19 clinicians

Practice addresses (Care Compare)

1000 5TH Ave
Saint Joseph, MO 64505-2111
Phone (816) 271-8265

1303 State St
Mound City, MO 64470-1717
Phone (816) 271-8265

2303 Village Dr
Saint Joseph, MO 64506-4954
Phone (816) 271-8265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022033813MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Health Services, Inc CurrentSince Sep 25, 2023 Accepting new patients
Northwest Health Services Inc Current Accepting new patients
Northwest Health Services Inc CurrentSince Sep 25, 2023 Accepting new patients
Northwest Health Services Inc Past Accepting new patients
Northwest Health Services Inc Past Accepting new patients
White Cloud Health Center, LLC PastSince Jan 12, 2023 Accepting new patients
Northwest Health Services Inc Past Accepting new patients
Northwest Health Services, Inc Past Accepting new patients
Northwest Health Services, Inc Past Accepting new patients
Northwest Health Services, Inc Past Accepting new patients

Locations

101 Cross St
Hamilton, MO 64644
Phone (816) 583-2151

1303 State St
Mound City, MO 64470
Phone (660) 442-5464

1000 5th Ave
Saint Joseph, MO 64505
Phone (816) 233-3338

2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 3

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1932828779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052111",
            "telephone_number": "816-233-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052111",
            "telephone_number": "816-233-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022033813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.