Active NPI
Kelsey Jean Logan, CRNA
- Certified Registered Nurse Anesthetist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9336293
- Practice address
- 1901 Ulmerton Rd
Suite 450
Clearwater, FL 33762-2300 - Phone
- (727) 210-8191
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9336293 | FL | Primary |
Addresses
Primary practice location
1901 Ulmerton Rd
Suite 450
Clearwater, FL 33762-2300
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kelsey.LoganCRNA@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
3280 N McMullen Booth Rd
Suite 110
Clearwater, FL 33761-2046
Phone (727) 787-3000
43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9336293 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| St Lukes Cataract & Laser Institute | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
Interoperability endpoints
- kelsey.logan.p1@direct.stlukeseye.nextgenshare.com
- kelsey.logancrna@direct.mybaycare.org
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1336690809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ULMERTON RD",
"address_2": "SUITE 450",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337622300",
"telephone_number": "727-210-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "KELSEY",
"middle_name": "JEAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9336293",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelsey.LoganCRNA@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1901 Ulmerton Rd",
"address_2": "Suite 450",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337622300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.