Individual provider Active NPI

Logan Korey Adams, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Keaau, HI
National Provider Identifier
1578283925
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-3767-0 Issued in HI
Practice address
15-2041 25TH Avenue
Keaau, HI 96749
Phone
(214) 455-4350
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN-106892-0 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-3767-0 HI Primary

Addresses

Primary practice location

15-2041 25TH Avenue
Keaau, HI 96749

Mailing address

PO Box 492415
Keaau, HI 96749-2415
Phone (214) 455-4350

Other practice location 1

75-5591 Palani Rd Ste 2002
Kailua Kona, HI 96740-3634
Phone (214) 455-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20231005001278 HI Practitioner - Nurse Practitioner 2769837137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas at Austin Dell Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hawaii Community Health Center IncGroup PAC ID 1557389400, 63 clinicians
Bay Clinic IncGroup PAC ID 5890699037, 28 clinicians

Practice addresses (Care Compare)

1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 333-3600

16 -192 Pili Mua St
Keaau, HI 96749-8134
Phone (808) 333-3600

95-5583 Mamalahoa Hwy
Naalehu, HI 96772
Phone (808) 333-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-106892-0HIMDPsychiatric/Mental Health Registered Nurse
APRN-3767-0HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince Jul 8, 2024 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jul 8, 2024 Accepting new patients

Locations

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1578283925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492415",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967492415",
            "telephone_number": "214-455-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2041 25TH AVENUE",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "214-455-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-5591 Palani Rd Ste 2002",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403634",
            "country_code": "US",
            "telephone_number": "214-455-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LOGAN",
        "middle_name": "KOREY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "HI",
            "license": "RN-106892-0",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3767-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keaau, HI

Sources for this page

Verify at the official NPI Registry.