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

Mr. Michael Stephen Logue, FAMNRSPRACFNP

Individual provider Family Nurse Practitioner · NPI 1750338919

Mr. Michael Stephen Logue, FAMNRSPRACFNP is a Nurse Practitioner in St. Louis, Missouri. Qualified in 2002, 24 years ago. Practices with Heart Care Specialists LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
24
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

10012 Kennerly Rd Ste # 301
St. Louis, MO 63128
Phone: (314) 894-0787
Fax: (314) 729-1489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 135879 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209004468 (IL)

Record details

NPI number1750338919
Entity typeIndividual (Type 1)
GenderMale
Credentials FAMNRSPRACFNP
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESNovember 7, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Heart Care Specialists Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in St. Louis