Individual provider Active NPI

Nancy Elizabeth Long, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wailuku, HI
National Provider Identifier
1952418287
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD-15045 Issued in HI
Practice address
400 Mahalani St
Wailuku, HI 96793-2547
Phone
(808) 244-5555
NPI assigned
Aug 23, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD-15045 HI Primary

Addresses

Primary practice location

400 Mahalani St
Wailuku, HI 96793-2547

Mailing address

400 Mahalani St
Wailuku, HI 96793-2547
Phone (808) 244-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505000527 VT Practitioner - Hospice/Palliative Care 4385817568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Feb 2, 2022 Accepting new patients
The University of Vermont Health Network Home Health & Hospice, Inc. Hospice and Palliative Medicine CurrentSince Jan 1, 2025 Accepting new patients
Hospice Maui, Inc Hospice and Palliative Medicine Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

1110 Prim Rd
Colchester, VT 05446
Phone (802) 658-1900

Interoperability endpoints

  • Direct secure messaging: nlong480440@direct.uvmhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uvmhn Home Health and HospiceColchester, VT, CCN 471500 Hospice W-2 Managing Employee May 23, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1952418287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932547",
            "telephone_number": "808-244-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932547",
            "telephone_number": "808-244-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "HI",
            "license": "MD-15045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.