SCOTT ALAN LONG (CNP) – Adult Health Nurse Practitioner, NPI 1548797608
Adult Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for SCOTT ALAN LONG (CNP)
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1309
Fax: (937) 522-8940
Type: Mailing
PO BOX 7527
DUBLIN, OH 430170727
Phone: (614) 788-6010
Type: Mailing
Frantz Road, Dublin, Franklin, Ohio, 43016, United States
DUBLIN, OH 43017
Phone: (614) 533-6553
Type: Mailing
7500 HOSPITAL DR
DUBLIN, OH 430168518
Phone: (614) 544-8000
Type: Location
Grant Medical Center, 111, South Grant Avenue, Discovery District, Columbus, Franklin, Ohio, 43215, United States
COLUMBUS, OH 43215
Phone: (614) 566-9160
Type: Location
2600 N LIMESTONE ST STE 175
SPRINGFIELD, OH 455031111
Phone: (937) 523-9980
Fax: (937) 523-9985
Type: Mailing
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: 2017-07-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170713003302 | I | Nurse Practitioner | OH | 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 45342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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