Individual provider Active NPI

Brianne Nicole Logsdon, NP-C

  • Family Nurse Practitioner
  • Glen Dale, WV
National Provider Identifier
1336556802
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0714495 Issued in WV
Practice address
426 8TH St
Suite 102
Glen Dale, WV 26038-1451
Phone
(304) 845-8444
NPI assigned
Jul 16, 2014
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0714495 WV Primary

Addresses

Primary practice location

426 8TH St
Suite 102
Glen Dale, WV 26038-1451

Mailing address

2667 Glen Dale Heights Rd
Glen Dale, WV 26038-1167
Phone (304) 639-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20160829001237 WV Practitioner - Nurse Practitioner 1951696020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

215 Lafayette Ave
Moundsville, WV 26041-1032
Phone (304) 843-3435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0714495WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valeo Medical, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Mar 1, 2020 Accepting new patients
Apex Wound Care and Health Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients

Locations

60583 State Route 7
Shadyside, OH 43947
Phone (304) 845-8444

426 8th St
Ste 301
Glen Dale, WV 26038
Phone (304) 221-4575

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1405 Earl L Core Rd
Morgantown, WV 26505
Phone (216) 223-8083

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

215 Lafayette Ave
Moundsville, WV 26041
Phone (304) 843-3435

260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949

1100 9th St
Ste E
Vienna, WV 26105

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

236 Hullihen Pl
Wheeling, WV 26003
Phone (304) 241-2234

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1336556802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 GLEN DALE HEIGHTS RD",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381167",
            "telephone_number": "304-639-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 8TH ST",
            "address_2": "SUITE 102",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381451",
            "telephone_number": "304-845-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "BRIANNE",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "F0714495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.