KELLEY RENEE LOGAN FNP-BC
NPI 1730502733
Nurse Practitioner - Family in Carthage, TN

Active since January 27, 2014PECOS EnrolledAccepts Medicare Assignment
573 CARTHAGE BYP, CARTHAGE, TN 37030(615) 486-6178(615) 486-6179 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Dec 27, 2021 (2 updates tracked since 2021).

About Kelley Renee Logan Fnp-bc NPPES

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

KELLEY RENEE LOGAN FNP-BC (NPI 1730502733) is an individual family provider in Carthage, Tennessee, licensed in Tennessee (17924) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730502733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY RENEE LOGANCredential: FNP-BC
Location Address573 CARTHAGE BYPCarthage, TN 37030-1573
Mailing Address427 Waterbrook DrMount Juliet, TN 37122-4252 · (615) 972-0077
Fax(615) 486-6179
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 27, 2014
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1730502733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 17924
573 CARTHAGE BYP, Carthage, TN 37030

Other Names 1

Former Name (1)Kelley Renee Bass Np

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley Renee Logan Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709174584
PECOS Enrollment IDI20250821002507
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
126 services60 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
73 services70 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
48 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
36 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37030 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

Clinic/Center (Urgent Care)
573 CARTHAGE BYP
CARTHAGE, TN 37030
Clinic/Center (Rural Health)
573 CARTHAGE BYP
CARTHAGE, TN 37030
Physician Assistant
573 CARTHAGE BYP
CARTHAGE, TN 37030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Logan's NPI number?

The NPI number for Kelley Logan is 1730502733. It was assigned to this individual provider in the NPPES registry on January 27, 2014. The provider is also known as Kelley Renee Bass Np.

Where is Kelley Logan located?

Kelley Logan practices at 573 Carthage Byp, Carthage, TN 37030. The listed phone number is (615) 486-6178.

What is Kelley Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Logan enrolled in Medicare?

Yes. Kelley Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Logan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 9 other insurers list Kelley Logan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Logan was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.