Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen A Long, APRN-BC, ND

Individual provider Family Nurse Practitioner · NPI 1831113026

Kathleen A Long, APRN-BC, ND is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2003, 23 years ago. Practices with Healthlinc Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2006
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Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7673
Fax: (574) 307-7692
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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 71001562A (IN)

Record details

NPI number1831113026
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC , ND
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJanuary 17, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Healthlinc Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka