CARRIE LONG (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619323623

CARRIE LONG (PMHNP) is a healthcare provider. based in Bedford, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 28161644A (IN). The NPI Number for CARRIE LONG (PMHNP) is 1619323623

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE LONG (PMHNP)
NPI
1619323623
Phone
(812) 275-4053
Address
2125 16TH ST
Enumeration Date
9 May 2016
Last Update Date
9 May 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8122754053
Graduation Year
2016 (10 years ago)
PAC ID
7113211863
Group Practice PAC ID
4082767496
Professional Enrollment ID
I20160803002336
Address ID
IN474213003BE2125XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for CARRIE LONG (PMHNP)

  • 2125, 16th Street, Bedford, Lawrence County, Indiana, 47421, United States

    BEDFORD, IN 474213003

    Phone: (812) 275-4053

    Mailing address matches the actual address.

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 $2,108.

Total Amount is formed as General ($2,108) + Research ($0) + Ownership ($0) = $2,108.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($344).

Total Amount

$2,108

General + Research + Ownership

Payments

133

Total payment records

General Amount

$2,108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2016-08-03

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
I20160803002336INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes18752$0
99214Established patient office or other outpatient visit, 30-39 minutes2317$0
View full utilization report →

Insurance plans in this area (ZIP 47421)

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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: 4082767496View full group profile
NameSpecialtyState
-IN
P S Y C H I A T R YIN
Clinical Social WorkerIN
Clinical Social WorkerIN
-IN
Mental Health CounselorIN

Reviews

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Frequently asked questions

Can I verify CARRIE LONG (PMHNP) with an NPI only?
You can start verification with NPI 1619323623 for CARRIE LONG (PMHNP), then check state licensing separately.
Does CMS list CARRIE LONG (PMHNP) as active?
Yes — CARRIE LONG (PMHNP) is active in the NPI listing used on this page.
What healthcare role does CARRIE LONG (PMHNP) hold?
Scheduling teams often label CARRIE LONG (PMHNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect CARRIE LONG (PMHNP) on a map?
Expect Bedford, Indiana as a primary anchor for CARRIE LONG (PMHNP) unless the record lists multiple sites.
Why does CARRIE LONG (PMHNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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