Penny Carol Logan, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5684P Issued in KY

Practice address

901 N Cross St
Albany, KY 42602-1617

Phone

(606) 934-0684

Fax

(606) 777-7560

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, TN, VA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: plogan@shcmedicalpartners.ssdirect.aprima.com

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.

• Health & Lifestyles Vip LLC

  • General Practice Physician
  • Albany, KY
  • NPI 1134914203

  KY

  Medicare reassignment NPD
• Sympatico Health Alliance

  • Psychiatric/Mental Health Nurse Practitioner
  • Ripley, TN
  • NPI 1538952320

  KY, TN, VA

  Medicare reassignment NPD
• Eterna Primary Care of Alabama LLC

  • General Practice Physician
  • Irondale, AL
  • NPI 1982554978
  NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD (past)
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD (past)
• Pathways Health Management Inc

  • Clinical Social Worker
  • Morrison, TN
  • NPI 1609263607
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1710134895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426020227",
            "telephone_number": "606-306-7706",
            "fax_number": "606-777-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CROSS ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021617",
            "telephone_number": "606-934-0684",
            "fax_number": "606-777-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "PENNY",
        "middle_name": "CAROL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "5684P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000582138",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100061960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland District Health Department
• Lake Cumberland District Health Dept
• Lake Cumberland District Health Dept
• Lake Cumberland District Health Dept
• Ashley Dawn Logan, APRN
• Stephanie Logan, BACHELOR'S
• Lorie Dalton
• LP Albany LLC
• Michael L Cummings MD PSC
• Annie Kay Moons, M.S. CCC-SLP

• All providers in Albany, KY
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.