Individual provider Active NPI

Samantha Long, APN-CNP

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1962897082
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012497 Issued in IL
Practice address
2150 Pfingsten Rd Ste 1200
Glenview, IL 60026-1326
Phone
(847) 864-3278
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012497 IL Primary
Primary Care Nurse Practitioner 363LP2300X 209.012497 IL

Addresses

Primary practice location

2150 Pfingsten Rd Ste 1200
Glenview, IL 60026-1326

Mailing address

2150 Pfingsten Rd Ste 1200
Glenview, IL 60026-1326
Phone (847) 864-3278

Other practice location 1

5841 S Maryland Ave
Room A621-MC2016
Chicago, IL 60637-1447
Phone (773) 702-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151217001194 IL Practitioner - Nurse Practitioner 5092016931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012497ILMDNurse Practitioner
209.012497ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Mar 6, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 14, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 14, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 1, 2019 Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 108
Arlington Heights, IL 60005
Phone (224) 404-6500

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

29373 Network Pl
Chicago, IL 60673

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2150 Pfingsten Rd
Ste 1200
Glenview, IL 60026
Phone (847) 657-1819

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1962897082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD STE 1200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261326",
            "telephone_number": "847-864-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD STE 1200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261326",
            "telephone_number": "847-864-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "Room A621-MC2016",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SAMANTHA",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012497",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.012497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.