MR. WILLIAM LONGWORTH (APRN) – Family Nurse Practitioner, NPI 1912399486
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. WILLIAM LONGWORTH (APRN)
642 Monticello Blvd
Lexington, KY 405033518
Phone: (859) 361-0699
Type: Location
470 Linden Ave Ste 5
Harrodsburg, KY 403301871
Phone: (859) 733-5864
Fax: (859) 733-5865
Type: Location
PO BOX 936
LONDON, KY 407430936
Phone:
Fax: (606) 330-7825
Type: Mailing
1250 KEENE RD STE 102
NICHOLASVILLE, KY 40356
Phone: (859) 887-6752
Fax: (859) 887-6879
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: 2022-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150608003095 | I | Nurse Practitioner | KY | TBD |
| I20180625003105 | I | Nurse Practitioner | TX | TBD |
| I20220827000277 | I | Nurse Practitioner | CA | 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 40503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 83036 | Hemoglobin A1C level | 28 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Physical Therapist In Private Practice | HI | |
| Nurse Practitioner | AK |
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