Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan S Jester, PA-C

Individual provider Physician Assistant · NPI 1710646880

Logan S Jester, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1001 Broad Ripple Ave
Indianapolis, IN 46220-2093
Phone: (317) 338-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 220 N Cleveland St Apt D, Indianapolis, IN 46204-2667 — (260) 445-8610
  • 2598 W White River Blvd, Muncie, IN 47303-5251 — (765) 747-3888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003377A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 10003377 (IN)

Record details

NPI number1710646880
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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