Bethany Long
NPI 1114743002 · Physician Assistant · Commerce Township, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany Long is a Physician Assistant provider in Commerce Township, MI (NPI 1114743002).
Provider details
- NPI number
- 1114743002
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 259 Mack AveDetroit, MI 48201-2427Phone: (313) 577-1716
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Bethany Long's NPI number?
- Bethany Long's National Provider Identifier (NPI) is 1114743002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethany Long's specialty?
- Bethany Long is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bethany Long located?
- Bethany Long's practice location on file with NPPES is 4123 Martin Rd Ste 102, Commerce Township, MI 48390-4151.
- What is Bethany Long's phone number?
- The practice phone number listed in the NPPES registry for Bethany Long is (248) 366-3700.
- Does Bethany Long accept Medicare?
- Bethany Long is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bethany Long's NPI active?
- Yes — Bethany Long's NPI (1114743002) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.