DANIEL LONG – Family Nurse Practitioner, NPI 1548680812

DANIEL LONG is a healthcare provider. based in Madison, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71004907A (IN). The NPI Number for DANIEL LONG is 1548680812

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL LONG
NPI
1548680812
Phone
(317) 783-7474
Address
1373 E STATE ROAD 62
Enumeration Date
24 April 2014
Last Update Date
21 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8127384251
Graduation Year
2005 (21 years ago)
PAC ID
6901020981
Group Practice PAC ID
6507277423
Professional Enrollment ID
I20140623002108
Address ID
IN471122164CO1141XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for DANIEL LONG

  • 1373 E STATE ROAD 62

    MADISON, IN 472507328

    Phone: (317) 783-7474

    Fax: (317) 783-2283

    Type: Location

  • 34 AGIN WAY

    MILTON, KY 400451509

    Phone: (859) 979-2459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: QOL Medical, LLC ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
QOL Medical, LLC$26
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: 2014-06-23

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
I20140623002108INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 47250)

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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: 6507277423View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineIN
Emergency MedicineWA
Emergency MedicineMO
Emergency MedicineMI
Emergency MedicineIN
Emergency MedicineOH
Emergency MedicineWI
Family Practice, Emergency MedicineKY
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I cross-check DANIEL LONG using NPI 1548680812?
NPI 1548680812 belongs to DANIEL LONG; compare other details if you need extra assurance.
Is DANIEL LONG shown as active in public data?
Registry records indicate DANIEL LONG maintains an active NPI.
How would a patient describe DANIEL LONG's focus?
For DANIEL LONG, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DANIEL LONG located near Madison?
DANIEL LONG currently maps to Madison, Indiana in this extract.
Can I trust this NPI listing for DANIEL LONG?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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