AMY J LONGSTREET (CNP) – Acute Care Nurse Practitioner, NPI 1639688260
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for AMY J LONGSTREET (CNP)
671 Lakeside Dr
Avon Lake, OH 440122783
Phone: (440) 309-8986
Type: Location
1111 Hayes Ave
Sandusky, OH 448703323
Phone: (419) 557-7400
Type: Location
671, Lakeside Drive, Avon Lake, Lorain County, Ohio, 44012, United States
AVON LAKE, OH 440122783
Phone: (440) 309-8986
Type: Location
9500 EUCLID AVE
CLEVELAND, OH 441952783
Phone: (216) 444-2200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Medtronic, Inc. ($69).
Total Amount
$69
General + Research + Ownership
Payments
2
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $69 |
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: 2018-01-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180108000219 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 74 | 73 | $0 |
Insurance plans in this area (ZIP 44012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| Internal Medicine | VA | |
| Hospitalist, Internal Medicine | OH | |
| Internal Medicine | OH | |
| Hospitalist, Internal Medicine | OH | |
| - | OH | |
| Hospitalist, Internal Medicine | OH | |
| Hospitalist, Internal Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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