Individual provider Active NPI

Ashley Nicole Logan

  • Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1265150288
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11021399 Issued in FL
Practice address
3319 S State Road 7 Ste 313
Wellington, FL 33449-8147
Phone
(561) 433-4444
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11021399 FL Primary

Addresses

Primary practice location

3319 S State Road 7 Ste 313
Wellington, FL 33449-8147

Mailing address

11095 159TH CT N
Jupiter, FL 33478-6719
Phone (561) 248-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20221013000370 FL Practitioner - Nurse Practitioner 0345616561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

42 Business Centre Dr
Unit 310
Miramar Beach, FL 32550-6995
Phone (850) 353-2719

Hospital & facility affiliations

  • North Walton Doctors Hospital Hospital, Defuniak Springs, FL, CCN 100365
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021399FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Jun 30, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Jun 30, 2024 Accepting new patients
North Walton Rural Hospital, LLC CurrentSince Aug 3, 2025 Accepting new patients
Palm Beach Neurosurgery PastSince Aug 28, 2022 Accepting new patients

Locations

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

4415 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 398-6606

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

42 Business Centre Dr
Unit 310
Miramar Beach, FL 32550
Phone (850) 353-2719

12909 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 353-2719

Interoperability endpoints

  • Direct secure messaging: ashley.logan.1@9109.direct.athenahealth.com
  • Direct secure messaging: alogan20314@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1265150288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11095 159TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786719",
            "telephone_number": "561-248-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 313",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498147",
            "telephone_number": "561-433-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.