Individual provider Active NPI

Susan Diane Logsdon, RNC WHNP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1578645958
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71001546A Issued in IN
Practice address
8051 S Emerson Ave Ste 400
Indianapolis, IN 46237
Phone
(317) 865-3600
Fax
(317) 885-3850
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71001546A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave Ste 400
Indianapolis, IN 46237

Mailing address

8051 S Emerson Ave Ste 400
Indianapolis, IN 46237-8633
Phone (317) 865-3600

Other identifiers 2

IdentifierTypeStateIssuer
200252450MedicaidIN
71001546COtherINCSR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150313001894 IN Practitioner - Nurse Practitioner 5991021768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001546AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Women'S Health CurrentSince Apr 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates LLC Women'S Health CurrentSince Apr 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

11595 N Meridian St
Ste 375
Carmel, IN 46032
Phone (317) 575-7304

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454

Interoperability endpoints

  • Direct secure messaging: susan.logsdon@axia.eclinicaldirectplus.com

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 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1578645958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378633",
            "telephone_number": "317-865-3600",
            "fax_number": "317-885-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-865-3600",
            "fax_number": "317-885-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RNC WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71001546A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252450",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "71001546C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.