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

Wanda K. Long, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1003456609

Wanda K. Long, ACNP-BC is a Nurse Practitioner in Palm Desert, California. Qualified in 2018, 8 years ago. Practices with Acute Care Surgery Medical Group Inc, a 202-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2020

Practice location Address checks out

40891 Breezy Pass Rd
Palm Desert, CA 92211-7263
Phone: (757) 714-0916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95013493 (CA)

Record details

NPI number1003456609
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Acute Care Surgery Medical Group Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Palm Desert