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

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Nicole Marie Long, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Colebrook, New Hampshire. Her current practice location is 141 Corliss Ln, Colebrook, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 788-5075.

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
141 Corliss Ln,
Colebrook, NH 03576-3206
(603) 788-5075
(603) 788-5285

Map and Direction




Provider's Profile

Full NameNicole Marie Long
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location141 Corliss Ln, Colebrook, 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: 02/26/2024
  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

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
173 Middle St,
Lancaster, NH 03584-3508

Ph: (603) 788-5029		Nicole Marie Long, APRN, PMHNP-BC
141 Corliss Ln,
Colebrook, NH 03576-3206

Ph: (603) 788-5075

Reviews and Comments


Nurse Practitioner Nurses in Colebrook, NH

Traci Dawn Knight, RN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 First St, Colebrook, NH 03576
Phone: 603-237-4262    
Ms. Keri Stiles, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 152 Colby St, Colebrook, NH 03576
Phone: 603-331-0500    
Margaret R Fitzgerald, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 141 Corliss Ln, Colebrook, NH 03576
Phone: 603-237-8336    Fax: 603-237-4467

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.