Active NPI
Ashley Nicole Logan
- Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11021399
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
- Ascension Sacred Heart Bay
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Gulf Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11021399 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Walton Rural Hospital, LLC | Current | Accepting new patients | |
| Palm Beach Neurosurgery | Past | 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
- ashley.logan.1@9109.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Surgical Physician Assistant
- Wellington, FL
- NPI 1477099596
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
Hospital
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.