LISA M LONG (MD) – Family Medicine Physician, NPI 1326039462

LISA M LONG (MD) is a healthcare provider. based in Carol stream, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301074655 (MI). The NPI Number for LISA M LONG (MD) is 1326039462

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA M LONG (MD)
NPI
1326039462
Phone
(906) 225-3864
Address
4602 DEPT
Enumeration Date
28 October 2005
Last Update Date
21 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4082760939
Group Practice PAC ID
9931359601
Professional Enrollment ID
I20090918000309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LISA M LONG (MD)

  • Carol Stream Police Department, Hiawatha Drive, Carol Stream, DuPage County, Illinois, 60188, United States

    CAROL STREAM, IL 601220021

    Phone: (906) 225-3864

    Fax: (906) 225-3851

    Type: Mailing

  • Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States

    STE 36

    MARQUETTE, MI 498552675

    Phone: (906) 225-3864

    Fax: (906) 225-3851

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-18

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
I20090918000309IFamily PracticeMITBD

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 60122)

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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: 9931359601View full group profile
NameSpecialtyState
-MI
Pulmonary DiseaseMI
H O S P I T A L I S TMI
Physician AssistantMI
Thoracic SurgeryIL
Nurse PractitionerMI
-MI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MI
-MI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

Does LISA M LONG (MD) have a public NPI I can cite?
Public records show LISA M LONG (MD) under NPI 1326039462.
Quick check: is LISA M LONG (MD) active?
Public NPPES data shows LISA M LONG (MD) with an active NPI status right now.
How should patients interpret LISA M LONG (MD)'s specialty?
The extract shows Family Medicine Physician for LISA M LONG (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA M LONG (MD)?
LISA M LONG (MD) is associated with Carol Stream, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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