NICOLE LOGUE NP
NPI 1881094936
Nurse Practitioner - Adult Health in Woodbury, CT
About Nicole Logue Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LOGUE NP (NPI 1881094936) is an individual adult health provider in Woodbury, Connecticut, licensed in Connecticut (5880) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Logue Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Logue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orange, CT 06477
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Impact Health PC
- 129 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06798 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Logue's NPI number?
The NPI number for Nicole Logue is 1881094936. It was assigned to this individual provider in the NPPES registry on August 26, 2014. The provider is also known as Nicole Butler Np.
Where is Nicole Logue located?
Nicole Logue practices at 42 Artillery Rd, Woodbury, CT 06798. The listed phone number is (203) 228-2116.
What is Nicole Logue's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nicole Logue enrolled in Medicare?
Yes. Nicole Logue is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Logue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Logue reassigns Medicare benefits to Impact Health P.C. (Orange, CT). The 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 Nicole Logue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Logue accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicole Logue 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 Nicole Logue was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nicole Logue, NP · NPI 1881094936
Adult Health physician in Woodbury, Connecticut. Individual provider, active in the CMS NPPES registry since August 26, 2014.
## Identity
- **NPI:** 1881094936 (Entity type: Individual)
- **Enumerated:** August 26, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5880 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 42 ARTILLERY RD, Woodbury, CT 06798-2308
- **Phone:** (203) 228-2116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Impact Health P.C. (NPI 1730694316, Orange, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881094936) · Data from the CMS NPPES public registry.