Dr Shannon Nicole Long, CNM is a medicare enrolled "Advanced Practice Midwife" in Danville, Kentucky. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). Her current practice location is
4288 Hustonville Rd, Danville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 669-9033.
Dr Shannon Nicole Long is licensed to practice in Kentucky (license number 4008146) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952089369.
Provider's Profile
| Full Name | Dr Shannon Nicole Long |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 16 Years |
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| Location | 4288 Hustonville Rd, Danville, Kentucky |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shannon Nicole Long graduated from nursing school in 2010
NPI Data:
- NPI Number: 1952089369
- Provider Enumeration Date: 07/06/2023
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 8527453927
- Enrollment ID: I20260708004011
Medical Identifiers
Medical identifiers for Dr Shannon Nicole Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952089369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 4008146 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Nicole Long is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shannon Nicole Long, CNM
4288 Hustonville Rd,
Danville, KY 40422-9582
Ph: (606) 669-9033 | Dr Shannon Nicole Long, CNM
4288 Hustonville Rd,
Danville, KY 40422-9582
Ph: (606) 669-9033 |
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