Mr Nicholas David Longfellow, ACNP in Saint Louis, MO

Mr Nicholas David Longfellow, ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Louis, Missouri. He went to Vanderbilt University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Express Care and his current practice location is 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (800) 862-9980.

Mr Nicholas David Longfellow is licensed to practice in Missouri (license number 2020029661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801406467.

Contact Information

	Mr Nicholas David Longfellow, ACNP
	1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003
	(800) 862-9980
	(314) 362-1185

Map and Direction

Provider's Profile

Full Name	Mr Nicholas David Longfellow
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1 Barnes Jewish Hospital Plz, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Nicholas David Longfellow attended and graduated from Vanderbilt University School Of Medicine in 2020

NPI Data:

NPI Number: 1801406467
Provider Enumeration Date: 08/07/2020
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8123447620
Enrollment ID: I20230309002016

Medical Identifiers

Medical identifiers for Mr Nicholas David Longfellow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801406467	NPI	-	NPPES
420089047	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2020029661 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1537

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. Mr Nicholas David Longfellow allows following entities to bill medicare on his behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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. Mr Nicholas David Longfellow 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
Mr Nicholas David Longfellow, ACNP 660 S Euclid Ave, Cb 8054, Saint Louis, MO 63110-1010 Ph: (800) 862-9980	Mr Nicholas David Longfellow, ACNP 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003 Ph: (800) 862-9980

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Mr Nicholas David Longfellow, ACNP - Medicare Nurse Practitioner in Saint Louis, MO