Individual provider Active NPI

Kelsey Jean Logan, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1336690809
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9336293 Issued in FL
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

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20170425001165 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072899269 Reassigns benefits to 3 organizations

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
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

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

LicenseStateTypeSpecialty
RN9336293FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Feb 1, 2024 Accepting new patients
St Lukes Cataract & Laser Institute Nurse Anesthetist, Certified Registered CurrentSince Jun 8, 2022 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 1, 2024 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

  • Direct secure messaging: kelsey.logan.p1@direct.stlukeseye.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.