JENNIFER L. LONGO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104889146

JENNIFER L. LONGO (CRNA) is a healthcare provider. based in Kirkwood, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 110003 (MO). The NPI Number for JENNIFER L. LONGO (CRNA) is 1104889146

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L. LONGO (CRNA)
NPI
1104889146
Phone
(573) 636-3483
Address
525 Couch Ave
Enumeration Date
10 April 2006
Last Update Date
18 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888514642
Graduation Year
2000 (26 years ago)
PAC ID
4385661818
Group Practice PAC ID
7315323706
Professional Enrollment ID
I20181212003730
Address ID
TN372114981NA330XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for JENNIFER L. LONGO (CRNA)

  • 525 Couch Ave

    Kirkwood, MO 631225536

    Phone: (573) 636-3483

    Fax: (573) 636-5315

    Type: Location

  • 202, 29th Avenue North, Nashville, Davidson County, Tennessee, 37203, United States

    NASHVILLE, TN 372031448

    Phone: (615) 327-4304

    Fax: (615) 327-7940

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-01-19 • Largest payer in this snapshot: INTERCEPT PHARMACEUTICALS, INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-19

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: 2018-12-12

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
I20181212003730ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 63122)

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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: 7315323706View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

How do I look up JENNIFER L. LONGO (CRNA) by NPI?
Use NPI 1104889146 when you need to reference JENNIFER L. LONGO (CRNA) in forms, claims, or directories.
Is JENNIFER L. LONGO (CRNA)'s NPI currently valid?
The extract we use shows JENNIFER L. LONGO (CRNA) as active.
What field does JENNIFER L. LONGO (CRNA) work in?
You can think of JENNIFER L. LONGO (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JENNIFER L. LONGO (CRNA)'s primary listing?
We display Kirkwood, Missouri because that is what the record indicates for JENNIFER L. LONGO (CRNA).
What if Kirkwood, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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