Logan Scott Vansickle, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013499 Issued in KY

Practice address

411 Letcher St
Henderson, KY 42420-4245

Phone

(270) 831-7950

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lvansickle209221@direct.deaconess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688
  Medicare reassignment Care Compare group NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Hospital Providers

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1679718100

  Family

  Medicare reassignment NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Neurology

  • Neurology Physician
  • Henderson, KY
  • NPI 1144651431
  NPD
• Methodist Health, Inc.

  dba Deaconess Henderson Pain Services

  • Pain Clinic/Center
  • Henderson, KY
  • NPI 1780249060
  NPD
• Methodist Health, Inc.

  dba Methodist Hospital Ambulance Service

  • Land Ambulance
  • Henderson, KY
  • NPI 1881677805
  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health, Inc.

  dba Deaconess Henderson Hospital

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1699335968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202775",
            "telephone_number": "270-827-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LETCHER ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204245",
            "telephone_number": "270-831-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "LOGAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Steven Tweddell, LPCC
• Tyler J. Unfried, PA
• David Eric Utley, D.O.
• Jessica L Utley, NP-C
• Sara Nicole Utley
• Janice Faye Vazquez
• Jennifer Gibson Vick, MS, CCC-SLP
• Myrian Noella Vinan Vega, MD
• Son Vo, PHARMD
• Lori Vowels

• Family Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.