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

Daniel Long

Individual provider Family Nurse Practitioner · NPI 1548680812

Daniel Long is a Nurse Practitioner in Madison, Indiana. Qualified in 2005, 21 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1373 E State Road 62
Madison, IN 47250-7328
Phone: (317) 783-7474
Fax: (317) 783-2283
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71004907A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71004907A (IN)

Record details

NPI number1548680812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2014
Last updated in NPPESJune 21, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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