Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE MARIE LOGAN PMHNP-BC
NPI 1225962723
Nurse Practitioner - Psychiatric/Mental Health in Cape Girardeau, MO

Q: What is Nicole Logan's NPI number?

The NPI number for Nicole Logan is 1225962723. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Q: What is Nicole Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Logan was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2026PECOS Enrolled

639 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703(573) 708-5010 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nicole Marie Logan Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE LOGAN PMHNP-BC (NPI 1225962723) is an individual psychiatric/mental health provider in Cape Girardeau, Missouri, licensed in Missouri (2026024587) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1225962723

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE MARIE LOGANCredential: PMHNP-BC

Location Address639 S SILVER SPRINGS RDCape Girardeau, MO 63703-7539

Mailing Address639 S Silver Springs RdCape Girardeau, MO 63703-7539 · (573) 708-5010

Phone(573) 708-5010

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1225962723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MO · 2026024587

639 S SILVER SPRINGS RD, Cape Girardeau, MO 63703

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Logan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204309842

PECOS Enrollment IDI20260624004190

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DURGA POUDEL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)