Lisa Lavonn Long, RN CNS - Clinical Nurse Specialist in Plymouth, MN

Lisa Lavonn Long, RN CNS is a Clinical Nurse Specialist - Adult Health based in Plymouth, Minnesota. Lisa Lavonn Long is licensed to practice in Minnesota (license number R1414190) and her current practice location is 2800 Campus Dr, Suite 30, Plymouth, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 398-2203.

NPI number for Lisa Lavonn Long is 1801072020 and her current mailing address is Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801072020.

Contact Information

Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645
(763) 398-2203
(763) 398-2233

Map and Direction




Provider's Profile

Full NameLisa Lavonn Long
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location2800 Campus Dr, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801072020
  • Provider Enumeration Date: 01/17/2008
  • Last Update Date: 06/27/2018

Medical Identifiers

Medical identifiers for Lisa Lavonn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801072020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health R1414190 (Minnesota)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. Lisa Lavonn Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Lavonn Long, RN CNS
Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195,
Minneapolis, MN 55455

Ph: (612) 626-4893
Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645

Ph: (763) 398-2203

Reviews and Comments


Clinical Nurse Specialist Nurses in Plymouth, MN

Andrea Winick, RN, CNP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 12755 Highway 55, Mn009-s130, Plymouth, MN 55441
Phone: 800-896-8936    Fax: 888-866-3209

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.