URSULA DESHA LOGAN FNP
NPI 1760915813
Nurse Practitioner - Family in West Memphis, AR

Q: What is Ursula Logan's NPI number?

The NPI number for Ursula Logan is 1760915813. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Q: What is Ursula Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ursula Logan was last updated on October 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment

900 N 7TH ST, WEST MEMPHIS, AR 72301(870) 735-3842 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2023, Jun 4, 2021, Apr 23, 2018 (3 updates tracked since 2018).

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About Ursula Desha Logan Fnp NPPES

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

URSULA DESHA LOGAN FNP (NPI 1760915813) is an individual family provider in West Memphis, Arkansas, licensed in Arkansas (A005049) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760915813

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameURSULA DESHA LOGANCredential: FNP

Location Address900 N 7TH STWest Memphis, AR 72301-2001

Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 735-3842

Phone(870) 735-3842

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 5, 2017

Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1760915813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AR · A005049✔ Licensed in TN · 22291

Also ListedRegistered NurseTaxonomy 163W00000X · License R081506 (AR)

900 N 7TH ST, West Memphis, AR 72301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Ursula Desha Logan Fnp 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 ID648599936

PECOS Enrollment IDI20170905002809

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 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 20

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

DR. FREDISHA MANNING GOODFELLOW D.M.D

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