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

Dr. Angela Long, MD

Individual provider Family Medicine Physician · NPI 1689864761

Dr. Angela Long, MD is a Family Practice in Kenosha, Wisconsin. Qualified in 2003, 23 years ago. Practices with Cleanslate Medical Group of Wisconsin SC, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
23
Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7201 Green Bay Rd Ste D
Kenosha, WI 53142-3532
Phone: (262) 842-0149
Fax: (262) 764-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60727-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-109214 (IL)

Record details

NPI number1689864761
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address7201 Green Bay Rd Ste D, Kenosha, WI 53142-3532

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Cleanslate Medical Group Of Wisconsin Sc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kenosha