KAYLA LYNNE LONG (PA) – Physician Assistant, NPI 1275127540

KAYLA LYNNE LONG (PA) is a healthcare provider. based in Warren, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601010456 (MI). The NPI Number for KAYLA LYNNE LONG (PA) is 1275127540

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA LYNNE LONG (PA)
NPI
1275127540
Phone
(586) 582-0760
Address
11012 E 13 MILE RD STE 112
Enumeration Date
26 February 2021
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484750502
Graduation Year
2020 (6 years ago)
PAC ID
6709292261
Group Practice PAC ID
7113835075
Professional Enrollment ID
I20210308001297
Address ID
MI483262777AU3100XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KAYLA LYNNE LONG (PA)

  • 11012 E 13 MILE RD STE 112

    WARREN, MI 480932546

    Phone: (586) 582-0760

    Type: Location

  • 4466 W BRISTOL RD

    FLINT, MI 485073170

    Phone:

    Type: Mailing

  • 4466 W Bristol Rd

    Flint, MI 485073170

    Phone: (810) 733-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,084.

Total Amount is formed as General ($1,084) + Research ($0) + Ownership ($0) = $1,084.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Pinnacle, Inc ($629).

Total Amount

$1,084

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,084

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

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: 2021-03-08

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
I20210308001297IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6238$0
99213Established patient office or other outpatient visit, 20-29 minutes4034$0
J1020Injection, methylprednisolone acetate, 20 mg3713$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance3019$0
20610Aspiration and/or injection of fluid from large joint2721$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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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: 7113835075View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Pain ManagementMI
Plastic And Reconstructive Surgery, Hand SurgeryMI
Hand SurgeryMI
Physician AssistantMI
Physician AssistantMI
Hand Surgery, Orthopedic SurgeryMI
Hand SurgeryMI

Reviews

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Frequently asked questions

What federal number belongs to KAYLA LYNNE LONG (PA)?
The federal identifier for KAYLA LYNNE LONG (PA) is NPI 1275127540.
Is KAYLA LYNNE LONG (PA) active in the national directory?
KAYLA LYNNE LONG (PA)'s public NPI profile is in an active state.
What kind of provider is KAYLA LYNNE LONG (PA)?
The page reflects Physician Assistant for KAYLA LYNNE LONG (PA). Clinical services aligned with this taxonomy classification.
Does KAYLA LYNNE LONG (PA) practice in Michigan?
You will see Warren, Michigan on file for KAYLA LYNNE LONG (PA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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