Individual provider Active NPI

Logan Bauserman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1609603927
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191264 Issued in VA
Practice address
7702 E Parham Rd Ste 102
Richmond, VA 23294-4366
Phone
(804) 606-0268
NPI assigned
Sep 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024191264 VA Primary

Addresses

Primary practice location

7702 E Parham Rd Ste 102
Richmond, VA 23294-4366

Mailing address

7702 E Parham Rd Ste 102
Richmond, VA 23294-4366

Other practice location 1

1602 Skipwith Rd
Richmond, VA 23229-5298
Phone (804) 289-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20250207000342 DC Practitioner - Nurse Practitioner 6305376203 Reassigns benefits to 3 organizations
I20250215000180 VA Practitioner - Nurse Practitioner 6305376203 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Practice addresses (Care Compare)

1660 L St NW
Suite 430
Washington, DC 20036-5748
Phone (410) 823-6408

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 740-6174

2621 Grove Ave
Richmond, VA 23220-4308
Phone (703) 812-4642

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191264VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Care Aco LLC CurrentSince Feb 1, 2026 Accepting new patients
Legacy Care LLC CurrentSince Feb 1, 2026 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Feb 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jan 10, 2026 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jan 10, 2026 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

1660 L St NW
Ste 430
Washington, DC 20036
Phone (202) 677-3302

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

7702 E Parham Rd
Ste 102
Richmond, VA 23294
Phone (804) 346-1612

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

2133 Upton Dr
Ste 126
Virginia Beach, VA 23454

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 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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1609603927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944366",
            "telephone_number": "804-606-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Skipwith Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295298",
            "country_code": "US",
            "telephone_number": "804-289-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUSERMAN",
        "first_name": "LOGAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.