Individual provider Active NPI

Logan Price, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt Sterling, KY
National Provider Identifier
1619717147
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4022660 Issued in KY
Practice address
148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone
(859) 499-0717
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 4022660 KY Primary

Addresses

Primary practice location

148 Skyview Dr
Mt Sterling, KY 40353-1496

Mailing address

148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone (859) 499-0717

Other identifiers 1

IdentifierTypeStateIssuer
7100990440MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240909002754 KY Practitioner - Nurse Practitioner 2860932548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Means Adult Primary Care Clinic of Kentucky PLLCGroup PAC ID 5395642177, 9 clinicians

Practice addresses (Care Compare)

148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone (859) 499-0717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Means Adult Primary Care Clinic of Kentucky PLLC CurrentSince Jun 26, 2024 Accepting new patients
Means Adult Primary Care Clinic of Kentucky PLLC CurrentSince Jun 26, 2024 Accepting new patients

Locations

148 Skyview Dr
Mt Sterling, KY 40353
Phone (859) 499-0717

1011 Brandy Ln
Ste A
Richmond, KY 40475
Phone (859) 286-7555

1145 W Lexington Ave
Ste A
Winchester, KY 40391
Phone (859) 744-0301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619717147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LOGAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4022660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100990440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.