Johnna Nicco Long, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eagle, Colorado. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valley View Hospital Association and her current practice location is
101 Greenhorn Ave, Eagle, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 389-7353.
Johnna Nicco Long is licensed to practice in Colorado (license number APN.0997169-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447918800.
Provider's Profile
| Full Name | Johnna Nicco Long |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 101 Greenhorn Ave, Eagle, Colorado |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Johnna Nicco Long graduated from nursing school in 2018
NPI Data:
- NPI Number: 1447918800
- Provider Enumeration Date: 12/02/2021
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163807116
- Enrollment ID: I20220913000151
Medical Identifiers
Medical identifiers for Johnna Nicco Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447918800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | APN.0997169-NP (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Valley View Hospital Association | 1850294778 | 173 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnna Nicco Long allows following entities to bill medicare on her behalf.
| Entity Name | Valley View Hospital Association |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437271285 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
|---|
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. Johnna Nicco 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 |
Johnna Nicco Long, FNP Po Box 181, Eagle, CO 81631-0181 Ph: (970) 389-7353 | Johnna Nicco Long, FNP 101 Greenhorn Ave, Eagle, CO 81631-6040 Ph: (970) 389-7353 |
Reviews and Comments