LISA N LONG (FNP-BC) – Family Nurse Practitioner, NPI 1417071689

LISA N LONG (FNP-BC) is a healthcare provider. based in Oak ridge, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. RN158278 (TN). The NPI Number for LISA N LONG (FNP-BC) is 1417071689

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA N LONG (FNP-BC)
NPI
1417071689
Phone
(865) 483-2288
Address
800 Oak Ridge Tpke Ste C100
Enumeration Date
16 March 2007
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065281212
Graduation Year
2009 (17 years ago)
PAC ID
8022291970
Group Practice PAC ID
0749262459
Professional Enrollment ID
I20110330000488
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

Provider Addresses for LISA N LONG (FNP-BC)

  • 800 Oak Ridge Tpke Ste C100

    Oak Ridge, TN 378306927

    Phone: (865) 483-2288

    Fax: (865) 483-6568

    Type: Location

  • 1855 Tanner Way Ste 130

    Harriman, TN 377488331

    Phone: (865) 882-1600

    Fax: (865) 285-9684

    Type: Location

  • 109 Independence Ln Ste 500

    LA Follette, TN 377663040

    Phone: (423) 562-9744

    Fax: (865) 544-1862

    Type: Location

  • 800 OAK RIDGE TPKE STE C100

    OAK RIDGE, TN 378306927

    Phone: (865) 483-2288

    Type: Mailing

  • 49 Cleveland St Ste 300

    Crossville, TN 385552854

    Phone: (931) 456-1550

    Fax: (931) 456-1555

    Type: Location

  • 1 TRILLIUM WAY

    CORBIN, KY 407018426

    Phone: (606) 523-8770

    Fax: (865) 482-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $600.

Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($148).

Total Amount

$600

General + Research + Ownership

Payments

29

Total payment records

General Amount

$600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2011-04-14

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
I20110330000488INurse PractitionerKYTBD
I20110414000126INurse PractitionerTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6853$0
92504Exam of ear using a microscope5541$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99214Established patient office or other outpatient visit, 30-39 minutes3029$0
31575Diagnostic exam of voice box using a flexible endoscope2927$0
View full utilization report →

Insurance plans in this area (ZIP 37830)

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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: 0749262459View full group profile
NameSpecialtyState
Qualified AudiologistTN
O T O L A R Y N G O L O G YTN
Qualified AudiologistTN
Qualified AudiologistTN
Physician AssistantTN
Qualified AudiologistTN
O T O L A R Y N G O L O G YTN
-TN
O T O L A R Y N G O L O G YTN

Reviews

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Frequently asked questions

How do payers reference LISA N LONG (FNP-BC)?
For LISA N LONG (FNP-BC), use NPI 1417071689 as the unique 10-digit identifier.
Would LISA N LONG (FNP-BC) appear as active to a payer?
You can treat LISA N LONG (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LISA N LONG (FNP-BC)?
LISA N LONG (FNP-BC) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is LISA N LONG (FNP-BC) registered?
Use Oak Ridge, Tennessee as the headline location for LISA N LONG (FNP-BC) here.
Can I trust this NPI listing for LISA N LONG (FNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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