JENNIFER LEEANN LONG (APN) – Family Nurse Practitioner, NPI 1013223130

JENNIFER LEEANN LONG (APN) is a healthcare provider. based in Augusta, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. ATP-000303 (AR). The NPI Number for JENNIFER LEEANN LONG (APN) is 1013223130

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEEANN LONG (APN)
NPI
1013223130
Phone
(870) 347-2534
Address
117 S 2ND ST
Enumeration Date
26 August 2010
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702379928
Graduation Year
2010 (16 years ago)
PAC ID
2466648845
Group Practice PAC ID
2567370620
Professional Enrollment ID
I20101124000505
Address ID
AR724379622LA1009X18XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for JENNIFER LEEANN LONG (APN)

  • 117 S 2ND ST

    PO BOX 497

    AUGUSTA, AR 720062309

    Phone: (870) 347-2534

    Type: Mailing

  • 1009 HIGHWAY 18

    LAKE CITY, AR 724379622

    Phone: (870) 237-9928

    Fax: (870) 237-1012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$132

General + Research + Ownership

Payments

7

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101124000505INurse PractitionerARTBD

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.

Verify on CMS Revalidation Lookup Tool

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 72006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567370620View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerKY
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER LEEANN LONG (APN)?
The federal identifier for JENNIFER LEEANN LONG (APN) is NPI 1013223130.
Is JENNIFER LEEANN LONG (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JENNIFER LEEANN LONG (APN)'s specialty in plain language?
Clinically, the directory lists JENNIFER LEEANN LONG (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIFER LEEANN LONG (APN)'s primary listing?
We display Augusta, Arkansas because that is what the record indicates for JENNIFER LEEANN LONG (APN).
What if Augusta, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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