Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Lynn Long, PA-C

Individual provider Physician Assistant · NPI 1205906591

Mrs. Stacy Lynn Long, PA-C is a Physician Assistant in Tucson, Arizona. Qualified in 2006, 20 years ago. Practices with Tmc Medical Network, a 277-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
20
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5355 E Erickson Dr
Tucson, AZ 85712-2826
Phone: (520) 324-2080
Fax: (520) 299-8202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4312 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA18670 (CA)

Record details

NPI number1205906591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Tmc Medical Network — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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