RICHARD HENRY LOGAN PMHNP-BC
NPI 1043085871
Nurse Practitioner - Psychiatric/Mental Health in Oak Park, IL

Q: What is Richard Logan's NPI number?

The NPI number for Richard Logan is 1043085871. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Q: What is Richard Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Richard Logan was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment

1010 LAKE ST STE 110, OAK PARK, IL 60301(331) 529-7413(877) 428-7891 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Nov 21, 2023 (2 updates tracked since 2023).

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About Richard Henry Logan Pmhnp-bc NPPES

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

RICHARD HENRY LOGAN PMHNP-BC (NPI 1043085871) is an individual psychiatric/mental health provider in Oak Park, Illinois, licensed in Illinois (209.028575) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burbank, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043085871

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameRICHARD HENRY LOGANCredential: PMHNP-BC

Location Address1010 LAKE ST STE 110Oak Park, IL 60301-1106

Mailing Address8649 New England AveBurbank, IL 60459-2216 · (708) 548-8308

Phone(331) 529-7413

Fax(877) 428-7891

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 21, 2023

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1043085871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.028575

1010 LAKE ST STE 110, Oak Park, IL 60301

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Secondary Practice Location 1

Location 18649 New England AveBurbank, IL 60459-2216 · Phone (708) 548-8308

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

Richard Henry Logan Pmhnp-bc 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 ID7315489846

PECOS Enrollment IDI20240611004489

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60301 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 12

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

MS. ANNA KATARINA BERIN M.ED., LPC

Counselor (Mental Health)