Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982605911 Individual Practitioner Male Practitioner

Kenneth D Long

Physician Assistant • Prineville, OR

Professional Overview & Biography Verified Profile Summary

Kenneth Long is a registered healthcare professional specializing in Physician Assistant in Prineville, OR. Practice services are available at 1251 NE ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1251 Ne Elm St

Prineville, OR 97754

Telephone 5414471680
Fax 5414474670
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Prineville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Prineville, OR (2106 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00535

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
205625 (OR)
Commercial Insurance / Payer ID Tricare West
93071013397754A001
Commercial Insurance / Payer ID Railroad Medicare
9700113590
Commercial Insurance / Payer ID Clear Choice
13503
Commercial Insurance / Payer ID Pacific Source
H3079
Commercial Insurance / Payer ID Coihs
13503
Commercial Insurance / Payer ID Providence Health Plans
GRP331

Practice Associates & Co-Workers

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

2 Associated Practitioners
Scott Light , PA-C

Physician Assistant - Medical

NPI 1679653745

Physician Assistant (Certified)

Leeann Osborne , PA

Physician Assistant - Medical

NPI 1740469378

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1251 NE ELM ST, PRINEVILLE, OR 97754 (Tel: 5414471680)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1251 NE ELM ST, PRINEVILLE, OR 97754 (Tel: 5414471680)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH LONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA00535 in OR)

🟢
Initial NPI Registration & Enumeration August 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982605911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1251 Ne Elm St

Prineville, OR 97754

Phone: 5414471680

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.