Logan Renae Mahlandt, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-79018-072 Issued in KS

Practice address

700 Medical Center Dr Ste 210
Newton, KS 67114-9017

Phone

(316) 283-2800

Fax

(316) 283-3575

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Logan Renae Minkevitch Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axtell Clinic PAGroup PAC ID 6406831544, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NMC Health Hospital, Newton, KS, CCN 170103

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.minkevitch.1@12072.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axtell Clinic, PA

  • Family Medicine Physician
  • Newton, KS
  • NPI 1346286036

  KS

  Medicare reassignment Care Compare group NPD
• Axtell Eye Center LLC

  • Ophthalmology Physician
  • Newton, KS
  • NPI 1972975456
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newton Healthcare Corporation

  • General Acute Care Hospital
  • Newton, KS
  • NPI 1245238435

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1013550425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR STE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671144446",
            "telephone_number": "316-283-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR STE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149017",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLANDT",
        "first_name": "LOGAN",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79018-072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION",
            "identifier": "F09191416",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201290060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "MINKEVITCH",
            "middle_name": "RENAE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Fischer Lukens, D.D.S.
• Daniel V Lygrisse, MD
• M P Health LLC
• M P Network LLC
• Satinder Mahal, DO
• Mai Karitani Manchanda, M.S.
• Kealey S Marcy, LMSW
• Marilyn Rosa Consulting Solutions
• Gene Marsh, MD
• Jason Francis Marsh

• All providers in Newton, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.