LOGAN RAY RENCHER DO
NPI 1104142371
Pediatrics - Pediatric Emergency Medicine in Fort Worth, TX
About Logan Ray Rencher Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN RAY RENCHER DO (NPI 1104142371) is an individual pediatric emergency medicine provider in Fort Worth, Texas, licensed in Texas (P6899) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Logan Ray Rencher Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Logan Rencher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
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 Logan Rencher's NPI number?
The NPI number for Logan Rencher is 1104142371. It was assigned to this individual provider in the NPPES registry on April 13, 2010.
Where is Logan Rencher located?
Logan Rencher practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.
What is Logan Rencher's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Logan Rencher enrolled in Medicare?
Yes. Logan Rencher is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Logan Rencher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Logan Rencher reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Travis County Emergency Physicians PA (Austin, TX). Each 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 Logan Rencher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Logan Rencher accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Sendero Health Plans, Local Nonprofit list Logan Rencher 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 Logan Rencher was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Logan Ray Rencher, DO · NPI 1104142371
Pediatric Emergency Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 13, 2010.
## Identity
- **NPI:** 1104142371 (Entity type: Individual)
- **Enumerated:** April 13, 2010
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** P6899 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4095 · **Fax:** (682) 885-7499
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104142371) · Data from the CMS NPPES public registry.