Mrs Nichole Terese Longeway, FNP in Sonora, CA

Mrs Nichole Terese Longeway, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sonora, California. Her current practice location is 795 Morning Star Dr, Sonora, California. You can reach out to her office (for appointments etc.) via phone at (209) 536-3680.

Mrs Nichole Terese Longeway is licensed to practice in California (license number 95033869) 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 1316751415.

Contact Information

	Mrs Nichole Terese Longeway, FNP
	795 Morning Star Dr, Sonora, CA 95370-5193
	(209) 536-3680
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nichole Terese Longeway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	795 Morning Star Dr, Sonora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316751415
Provider Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 5698290096
Enrollment ID: I20250417003353

Medical Identifiers

Medical identifiers for Mrs Nichole Terese Longeway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316751415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95033869 (California)	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. Mrs Nichole Terese Longeway allows following entities to bill medicare on her behalf.

Entity Name	Sonora Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910

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. Mrs Nichole Terese Longeway 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
Mrs Nichole Terese Longeway, FNP 10914 Kelso Ct, Sonora, CA 95370-9459 Ph: (209) 840-1107	Mrs Nichole Terese Longeway, FNP 795 Morning Star Dr, Sonora, CA 95370-5193 Ph: (209) 536-3680

Reviews and Comments

Nurse Practitioner Nurses in Sonora, CA

Ms. Marsha Ann Malgesini, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7400 Fax: 209-533-7406
Mrs. Krysta Lee Wolken, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 922, Sonora, CA 95370 Phone: 209-536-3750
Deborah Lynn Goreham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-533-0333
Karin Erica Rohn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7433 Fax: 209-533-7439
Janene R Phillips, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-233-0333 Fax: 209-533-0782
Daniel Duron, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste G, Sonora, CA 95370 Phone: 209-533-9600
Mrs. Lisa Jewell Andrews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste A, Sonora, CA 95370 Phone: 209-536-5070

Mrs Nichole Terese Longeway, FNP - Medicare Nurse Practitioner in Sonora, CA