ELIZABETH LOGAN
NPI 1851721302
Nurse Practitioner - Family in Melbourne, FL

Active since November 20, 2013
85.38/100
CMS Quality Rating
1130 HICKORY ST STE B, MELBOURNE, FL 32901(321) 361-5599(321) 952-6179 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2018, Aug 22, 2018 (2 updates tracked since 2018).

About Elizabeth Logan NPPES

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

ELIZABETH LOGAN (NPI 1851721302) is an individual family provider in Melbourne, Florida, licensed in Florida (ARNP9232775) and active in the NPI registry since November 2013. She maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1851721302
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH LOGAN
Location Address1130 HICKORY ST STE BMelbourne, FL 32901-1973
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 361-5599 · Fax (321) 951-7408
Fax(321) 952-6179
Sole ProprietorNo
Enumeration DateNovember 20, 2013
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
NPI 1851721302 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 FL · ARNP9232775
1130 HICKORY ST STE B, Melbourne, FL 32901

Secondary Practice Location 1

Location 11314 Oak StMelbourne, FL 32901 · Phone (321) 727-7992

Other Identifiers 2

OtherHU060YFL · Medicare
Medicaid010941200FL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
1130 HICKORY ST STE B
MELBOURNE, FL 32901
Nurse Practitioner
1130 HICKORY ST STE B
MELBOURNE, FL 32901
Internal Medicine (Medical Oncology)
1130 HICKORY ST STE B
MELBOURNE, FL 32901
Nurse Practitioner (Adult Health)
1130 HICKORY ST STE B
MELBOURNE, FL 32901
Nurse Practitioner (Adult Health)
1130 HICKORY ST STE B
MELBOURNE, FL 32901

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 Elizabeth Logan's NPI number?

The NPI number for Elizabeth Logan is 1851721302. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Elizabeth Logan located?

Elizabeth Logan practices at 1130 Hickory St Ste B, Melbourne, FL 32901. The listed phone number is (321) 361-5599.

What is Elizabeth Logan's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Logan was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.