NINA RAE LONG (CRNP) – Family Nurse Practitioner, NPI 1205691367
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for NINA RAE LONG (CRNP)
491 SHERWOOD PL
HALEYVILLE, AL 355656958
Phone: (205) 485-4615
Type: Mailing
1809 KRESS ST
CULLMAN, AL 350581565
Phone: (256) 739-1210
Fax: (256) 739-1204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,469.
Total Amount is formed as General ($2,469) + Research ($0) + Ownership ($0) = $2,469.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: EMD Serono, Inc. ($322).
Total Amount
$2,469
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,469
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EMD Serono, Inc. | $322 |
| CSL Behring | $266 |
| Alexion Pharmaceuticals, Inc. | $213 |
| Novartis Pharmaceuticals Corporation | $194 |
| Biogen, Inc. | $176 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240528000352 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35565)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| - | AL | |
| N E U R O L O G Y | AL | |
| Nurse Practitioner | AL |
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