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

Mary Longero

Individual provider Surgical Physician Assistant · NPI 1992327142

Mary Longero is a Physician Assistant in Reno, Nevada. Qualified in 2021, 5 years ago. Practices with Community Care Services LLC, a 628-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1155 Mill St
Reno, NV 89502-1576
Phone: (775) 982-7878
Fax: (775) 982-4196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18600 Wedge Pkwy, Reno, NV 89511-3036 — (775) 784-4843
  • 9480 Double Diamond Pkwy, Reno, NV 89521-5845 — (775) 786-1600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X (NV)

Record details

NPI number1992327142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address1155 Mill St, Ms M-14, Reno, NV 89502-1576

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Care Services Llc — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Reno