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

Michelle Dawn Long, NP

Individual provider Registered Nurse · NPI 1699976431

Michelle Dawn Long, NP is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2006, 20 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2007
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2237
Fax: (859) 301-3962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3005068 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1092014 (KY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 3005068 (KY)

Record details

NPI number1699976431
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESOctober 29, 2019
Mailing addressPo Box 636324, Cincinnati, OH 45263-6324

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood