Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Long

Individual provider Family Nurse Practitioner · NPI 1548680812

Daniel Long is a Nurse Practitioner in Madison, Indiana. Qualified in 2005, 21 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1373 E State Road 62
Madison, IN 47250-7328
Phone: (317) 783-7474
Fax: (317) 783-2283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71004907A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71004907A (IN)

Record details

NPI number1548680812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2014
Last updated in NPPESJune 21, 2014
Mailing address34 Agin Way, Milton, KY 40045-1509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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