MARY LONG APRN CNP NPI 1609524776

NPI Information

NPI: 1609524776
Provider Name: MARY LONG, APRN CNP
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
PECOS Registration: Yes
Address: 6800 NW 39TH EXPY
BETHANY, OK
ZIP 73008
Phone: (405) 789-6711

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NPI Details

Mary Long, APRN CNP is a family nurse practitioner in Bethany, OK. Mary Long, APRN CNP NPI is 1609524776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6800 NW 39TH EXPY
BETHANY, OK
ZIP 73008-513
Phone: (405) 789-6711

The NPI 1609524776 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient home visit, typically 1 hour (HCPCS:99350)
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)

The enumeration date for this NPI number is 3/16/2022 and was last updated on 1/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	207060	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	207060	OTHER	OKLAHOMA	OKLAHOMA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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