AMBER D LONG (APRN) – Family Nurse Practitioner, NPI 1114491966

AMBER D LONG (APRN) is a healthcare provider. based in Thayer, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A006037 (AR). The NPI Number for AMBER D LONG (APRN) is 1114491966

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMBER D LONG (APRN)
NPI
1114491966
Phone
(417) 264-7136
Address
1375 Nettleton Ave
Enumeration Date
15 January 2019
Last Update Date
10 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8703361600
Graduation Year
2018 (8 years ago)
PAC ID
7214277706
Group Practice PAC ID
0042595985
Professional Enrollment ID
I20190320000811
Address ID
AR724016007JO1003XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for AMBER D LONG (APRN)

  • 1375 Nettleton Ave

    Thayer, MO 65791

    Phone: (417) 264-7136

    Fax: (417) 264-7122

    Type: Location

  • 497, Belfast Augusta Road, Clarks Corner, Waldo County, Maine, 04949, United States

    AUGUSTA, AR 720060497

    Phone: (870) 347-2534

    Fax: (870) 347-1235

    Type: Mailing

  • Batesville Boulevard, Batesville, Independence County, Arkansas, 72501, United States

    BATESVILLE, AR 72501

    Phone: (870) 569-4934

    Fax: (870) 569-4948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,460.

Total Amount is formed as General ($2,460) + Research ($0) + Ownership ($0) = $2,460.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($509).

Total Amount

$2,460

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,460

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: 2019-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190320000811INurse PractitionerARTBD
I20190717002500INurse PractitionerMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,337348$0
99213Established patient office or other outpatient visit, 20-29 minutes607521$0
17000Destruction of precancer skin growth, 1 growth481416$0
11102Biopsy of related skin growth, first growth246227$0
99212Established patient office or other outpatient visit, 10-19 minutes198178$0
View full utilization report →

Insurance plans in this area (ZIP 65791)

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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: 0042595985View full group profile
NameSpecialtyState
Physician AssistantAR
Nurse PractitionerAR
D E R M A T O L O G YAR

Reviews

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Frequently asked questions

What identifier follows AMBER D LONG (APRN) across health systems?
The NPI 1114491966 uniquely identifies AMBER D LONG (APRN) in U.S. healthcare data.
Is AMBER D LONG (APRN) currently accepting referrals based on NPI status?
Registry metadata lists AMBER D LONG (APRN) as active.
What services align with AMBER D LONG (APRN)'s listing?
AMBER D LONG (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit AMBER D LONG (APRN) in Thayer, Missouri?
For routing, start with Thayer, Missouri for AMBER D LONG (APRN), then verify phone and hours locally.
Can I export AMBER D LONG (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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