Individual provider Active NPI

Logan West

  • Obstetrics & Gynecology Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1467153080
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R246267 Issued in MD
Practice address
2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745
Phone
(410) 573-9530
Fax
(667) 204-7229
NPI assigned
Mar 10, 2023
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R246267 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745

Mailing address

3 Admiral Rd
Severna Park, MD 21146-3701
Phone (443) 758-4743

Other practice location 1

2401 Brandermill Blvd Ste 350
Gambrills, MD 21054-1617
Phone (410) 573-9530

Other practice location 2

1630 Main St Ste 211
Chester, MD 21619-2793
Phone (410) 573-9530

Other practice location 3

18 Magothy Beach Rd Ste A
Pasadena, MD 21122-4477
Phone (410) 573-9530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230629001863 MD Practitioner - Nurse Practitioner 5294194882 Reassigns benefits to 2 organizations
I20240605001396 DC Practitioner - Nurse Practitioner 5294194882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3745
Phone (410) 573-9530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R246267MDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 30, 2024 Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA CurrentSince May 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 30, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 30, 2024 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • Direct secure messaging: lwest126862@direct.aahs.org

Organizations & group practices 8

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 2

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1467153080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ADMIRAL RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463701",
            "telephone_number": "443-758-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Brandermill Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541617",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192793",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Magothy Beach Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224477",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R246267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.