Individual provider Active NPI

Logan S Jester, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1710646880
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003377A Issued in IN
Practice address
1095 Broad Ripple Ave
Indianapolis, IN 46220-2381
Phone
(317) 338-4200
NPI assigned
Dec 15, 2021
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003377 IN
Physician Assistant 363A00000X 10003377A IN Primary

Addresses

Primary practice location

1095 Broad Ripple Ave
Indianapolis, IN 46220-2381

Mailing address

1095 Broad Ripple Ave
Indianapolis, IN 46220-2381
Phone (317) 338-4200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ljester@direct.iuhealth.org Direct
Direct Messaging Address logan.jester.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20220125000482 IN Practitioner - Physician Assistant 4587056536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1095 Broad Ripple Ave
Indianapolis, IN 46220-2381
Phone (317) 338-4200

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8330 Naab Rd
Suite 340
Indianapolis, IN 46260-2279
Phone (317) 415-6500

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003377INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jul 1, 2024 Accepting new patients
Eagle Creek Urgent Care LLC Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

1001 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 259-7777

1095 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 251-6121

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8330 Naab Rd
Ste 340
Indianapolis, IN 46260
Phone (317) 338-5100

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

Interoperability endpoints

  • Direct secure messaging: ljester@direct.iuhealth.org
  • Direct secure messaging: logan.jester.1@7598.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1710646880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 BROAD RIPPLE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202381",
            "telephone_number": "317-338-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 BROAD RIPPLE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202381",
            "telephone_number": "317-338-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "LOGAN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003377",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003377A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljester@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "logan.jester.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "1001 Broad Ripple Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462202093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.