Individual provider Active NPI

Kimberly Ann Logsdon, APRN

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1548915994
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A171512 Issued in IA
Practice address
3415 53Rd Ave
Bettendorf, IA 52722-6976
Phone
(563) 742-4350
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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 A171512 IA Primary

Addresses

Primary practice location

3415 53Rd Ave
Bettendorf, IA 52722-6976

Mailing address

3415 53Rd Ave
Bettendorf, IA 52722-6976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20221114001540 IA Practitioner - Nurse Practitioner 9739575853 Reassigns benefits to 2 organizations
I20240112003405 IL Practitioner - Nurse Practitioner 9739575853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3904 16TH St
Suite a
Moline, IL 61265-1275
Phone (309) 581-7630

5185 Competition Dr
Bettendorf, IA 52722-8833
Phone (563) 888-5660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 17, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 19, 2023 Accepting new patients
Genuine Healthcare PC PastSince Oct 23, 2022 Accepting new patients
Advanced Radiology, S.C. PastSince Jul 17, 2023 Accepting new patients

Locations

5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660

1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350

3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

400 E Court Ave
Ste 110
Des Moines, IA 50309

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610

3904 16th St
Ste A
Moline, IL 61265
Phone (309) 581-7620

106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kimberly.logsdon@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: klogsdon129769@direct.unitypoint.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.

Hospital & facility affiliations 1

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1548915994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226976",
            "telephone_number": "563-742-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.