Alica Long, M.A. CCC-A
NPI 1659385813ActiveIndividual· Audiologist· Gillette, WY
Audiologist (M.A. CCC-A) in Gillette, Wyoming, licensed in WY, with an NPI issued in July 2006. Medicare paid $4,289 for services to 175 patients in 2024.
Overview
| NPI | 1659385813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. CCC-A |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | A-973 | WY |
| Audiologist-Hearing Aid Fitter | 237600000X | A-973 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 267 across 5 procedure codes |
| Paid by Medicare | $4,289 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Other Audiologist providers in Gillette
- 1073976155
- 1336463611
- 1841408416
- 1891943593