Nicole Marie Long, APRN, PMHNP-BC - Medicare Nurse Practitioner in Keene, NH

  1. Home
  2. Nurse Practitioner
  3. NH
  4. Keene
Nicole Marie Long, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Keene, New Hampshire. Her current practice location is 40 Avon St, Keene, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 357-4400.

Nicole Marie Long is licensed to practice in New Hampshire (license number 085982-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184100067.

Contact Information

Nicole Marie Long, APRN, PMHNP-BC
40 Avon St,
Keene, NH 03431-3516
(603) 357-4400
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Long
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location40 Avon St, Keene, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184100067
  • Provider Enumeration Date: 07/13/2018
  • Last Update Date: 12/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406194505
  • Enrollment ID: I20230112000375

Medical Identifiers

Medical identifiers for Nicole Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184100067NPI-NPPES
3137907MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 085982-23 (New Hampshire)Primary

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. Nicole Marie Long allows following entities to bill medicare on her behalf.
Entity NameWeeks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508819566
PECOS PAC ID: 2769461284
Enrollment ID: O20040719000284
Entity NameMonadnock Family Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649331224
PECOS PAC ID: 4587681978
Enrollment ID: O20051025000703

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. Nicole Marie 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 AddressPractice Location Address
Nicole Marie Long, APRN, PMHNP-BC
64 Main St Fl 2,
Keene, NH 03431-3701

Ph: (603) 283-1570		Nicole Marie Long, APRN, PMHNP-BC
40 Avon St,
Keene, NH 03431-3516

Ph: (603) 357-4400

Reviews and Comments


Nurse Practitioner Nurses in Keene, NH

Katrina M Masure, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 580 Court St, Keene, NH 03431
Phone: 603-354-5400    
Linda M Rice, APRN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 580 Court Street The Cheshire Medical Center, Emergency Medicine Department, Keene, NH 03431
Phone: 603-354-6600    
Mrs. Corinne Marie-madeleine Del Perugia-stoddart, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 590 Court Street, Family Medicine, Keene, NH 03431
Phone: 603-354-5400    
Rachel Marie Hough,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 677 Court St, Keene, NH 03431
Phone: 603-400-0619    
Ms. Penny L Van Alstyne, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 590 Court St, Keene, NH 03431
Phone: 603-354-5400    
Rosalind P Vara-good, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 590 Court St, Keene, NH 03431
Phone: 603-354-5400    
Carol Arsenault,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 351 Winchester St, Keene, NH 03431
Phone: 603-352-3406    Fax: 603-352-3416

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.