Individual provider Active NPI

Jennifer Logan, MSN APRN FNP PMHNP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1790410603
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348057 Issued in NY
Practice address
43 New Scotland Ave # M506
Albany, NY 12208-3478
Phone
(518) 262-0526
NPI assigned
Jul 24, 2022
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348057 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405414 NY

Addresses

Primary practice location

43 New Scotland Ave # M506
Albany, NY 12208-3478

Mailing address

22 Rosemont St
Albany, NY 12203-2405
Phone (802) 236-2611

Other practice location 1

721 Madison Ave
Albany, NY 12208-3301
Phone (518) 729-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241113004081 NY Practitioner - Nurse Practitioner 2769916774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians
Albany Behavioral HealthGroup PAC ID 6709321755, 2 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

721 Madison Ave
Albany, NY 12208-3301
Phone (518) 729-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348057NYMDFamily Nurse Practitioner
405414NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J. Logan NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 26, 2024 Accepting new patients
Albany Medical College CurrentSince Aug 31, 2024 Accepting new patients
Albany Medical College CurrentSince Aug 31, 2024 Accepting new patients
Albany Behavioral Health Psychiatric/Mental Health CurrentSince Jun 30, 2025 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

43 New Scotland Ave
#M506
Albany, NY 12208
Phone (518) 262-0526

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

721 Madison Ave
Albany, NY 12208
Phone (518) 729-2126

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: jlogan26656@albanymed.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1790410603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROSEMONT ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032405",
            "telephone_number": "802-236-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE # M506",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083478",
            "telephone_number": "518-262-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083301",
            "country_code": "US",
            "telephone_number": "518-729-2126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MSN APRN FNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348057",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.