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

Matthew S Long, CRNA

Individual provider Registered Nurse · NPI 1093707945

Matthew S Long, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
37
Licensed in
TN
In the registry since
2005
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

17C Brentshire Sq
Jackson, TN 38305-2273
Phone: (731) 664-1717
Fax: (731) 664-7114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APN0000009329 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN0000067803 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN0000057803 (TN)

Record details

NPI number1093707945
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address17c Brentshire Square, Jackson, TN 38305-2273

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson