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MRS. KELLE MELVIN LOGAN CRNA
NPI 1750702056
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since January 04, 2014
12902 USF MAGNOLIA DR, TAMPA, FL 33612(888) 860-2778 Get Directions Write a Review

NPPES record last updated: January 5, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kelle Melvin Logan Crna NPPES

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

MRS. KELLE MELVIN LOGAN CRNA (NPI 1750702056) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (ARNP9203099) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1750702056
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. KELLE MELVIN LOGANCredential: CRNA
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing Address12902 Usf Magnolia DrTampa, FL 33612-9416
Phone(888) 860-2778
Sole ProprietorNo
Enumeration DateJanuary 4, 2014
Last NPPES UpdateJanuary 5, 2014
✔ NPI 1750702056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · ARNP9203099
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12902 USF MAGNOLIA DR, Tampa, FL 33612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelle Melvin Logan Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Kelle Logan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthetic Solutions Of Florida, LLC
198 mi
Nurse Anesthetist, Certified Registered
2824 MAHAN DR
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 19 clinicians in this Medicare group
NPI 1114567260 (888) 209-0305
Anesthesiology Associates Of Tallahassee Inc
199 mi
Anesthesiology
1608 SURGEONS DR
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 171 clinicians in this Medicare group
NPI 1770257883 (877) 328-1119
South Georgia Anesthesia Associates, PC
212 mi
Pain Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1285605733 (229) 228-4002
Grady General Hospital
223 mi
General Acute Care Hospital
1155 5TH ST SE
Cairo, GA 39828
  • Reassigned Medicare billing, Georgia enrollment
  • 60 clinicians in this Medicare group
NPI 1013961507 (229) 377-1150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
MR. MARC VINCENT MANACCI CRNA
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

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 Kelle Logan's NPI number?

The NPI number for Kelle Logan is 1750702056. It was assigned to this individual provider in the NPPES registry on January 4, 2014.

Where is Kelle Logan located?

Kelle Logan practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (888) 860-2778.

What is Kelle Logan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelle Logan enrolled in Medicare?

Yes. Kelle Logan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelle Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelle Logan reassigns Medicare benefits to 4 organizations: Anesthetic Solutions Of Florida, LLC (Tallahassee, FL), Anesthesiology Associates Of Tallahassee Inc (Tallahassee, FL), South Georgia Anesthesia Associates, PC (Thomasville, GA) and Grady General Hospital (Cairo, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelle Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelle Logan was last updated on January 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.