Active NPI 1699976431 Individual Practitioner Female Practitioner

Michelle Dawn Long , NP

Nurse Practitioner • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Long, NP is a certified Nurse Practitioner practicing in Edgewood, KY. With approximately 20 years of clinical experience since completing medical education in 2006, Michelle Long delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DR.

Michelle Long is affiliated with St Elizabeth Medical Center, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, pelvic exam. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593012237

Fax 8593013962

Associated Practice Facility / Clinic

🏢 Independent Anesthesiologists Psc Facility NPI 1295716850

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +11.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Long (20 Years) 20 Yrs

Edgewood Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	44	$301.00	$77.42
99213 Established patient office or other outpatient visit, typically 15 minutes	89	74	$213.00	$52.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	30	20	$39.00	$13.39
99459 Pelvic exam	13	12	$49.00	$16.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	44	$180.00	$79.58
99213 Established patient office or other outpatient visit, typically 15 minutes	103	77	$135.00	$53.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	97	$128.57	$54.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	43	$177.32	$80.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	44	$173.00	$82.49
99213 Established patient office or other outpatient visit, typically 15 minutes	105	87	$119.00	$55.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$72.00	$29.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	62	$119.00	$42.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	39	$173.00	$66.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$72.00	$20.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$231.00	$93.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	65	$116.04	$42.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$69.84	$21.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	19	$171.19	$64.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	95	$114.00	$41.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$67.00	$20.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	12	$168.00	$64.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	144	$114.00	$40.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	20	$31.00	$7.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	14	$168.00	$62.50

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3005068

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License KY 1092014

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License KY 3005068

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100041660 (KY)

Medicaid State Provider ID

2852506 (OH)

Hospital & Practice Group Affiliations

St Elizabeth Medical Center, Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593014723

St Elizabeth Medical Center, Inc

238 Barnes Rd, Williamstown, KY 410979482

Phone: 8593014000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Daniel Spinosa , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1083110969

Doctor of Medicine (M.D.)

Brent Xia

Surgery - Surgical Oncology

NPI 1306289871

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address September 19, 2018

Registered at PO BOX 636324, CINCINNATI, OH 452636324 (Tel: 8593012237)

✅

NPI Profile Active September 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2015

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012237)

📍

Updated Business Mailing Address September 15, 2015

Registered at PO BOX 636324, CINCINNATI, OH 452630001 (Tel: 8593445555)

👤

Provider Name / Credentials Updated September 15, 2015

Recorded as MICHELLE LONG, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Registered Nurse (License #1092014 in KY)

🟢

Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699976431

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 30, 2007

Last Update: October 29, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636324

Cincinnati, OH 452636324

Phone: 8593012237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.