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

Dr. Jackie Long, MD

Individual provider Psychiatry Physician · NPI 1790039071

Dr. Jackie Long, MD is a Psychiatry in Minot, North Dakota. Qualified in 2008, 18 years ago. Practices with St Alexius Medical Center, a 241-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and North Dakota.

Years since qualifying
18
Licensed in
FL, ND
In the registry since
2012
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

407 3rd St SE
Minot, ND 58701-4470
Phone: (701) 857-2360
Fax: (701) 857-2187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13505 Us Highway 1, Sebastian, FL 32958-3759 — (772) 257-8224
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 16459 (ND)
Psychiatry Physician Taxonomy 2084P0800X · Licence ME126295 (FL)

Record details

NPI number1790039071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 5010, Minot, ND 58702-5010

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Alexius Medical Center — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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