Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL LOGAN APN
NPI 1386012482
Nurse Practitioner in Chicago, IL

Q: What is Samuel Logan's NPI number?

The NPI number for Samuel Logan is 1386012482. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Q: What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Logan was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 September 04, 2015PECOS EnrolledAccepts Medicare Assignment

3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800(773) 782-5042 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 9, 2026, Aug 12, 2020 (2 updates tracked since 2020).

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About Samuel Logan Apn NPPES

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

SAMUEL LOGAN APN (NPI 1386012482) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (277000181) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386012482

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSAMUEL LOGANCredential: APN

Location Address3600 W FULLERTON AVEChicago, IL 60647-2319

Mailing Address3600 W Fullerton AveChicago, IL 60647-2319 · (773) 782-2800 · Fax (773) 782-5042

Phone(773) 782-2800

Fax(773) 782-5042

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015

Enumeration DateSeptember 4, 2015

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1386012482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 277000181

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3600 W FULLERTON AVE, Chicago, IL 60647

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Secondary Practice Location 1

Location 16416 W Belmont AveChicago, IL 60634-3921 · Phone (773) 782-2800 · Fax (773) 782-5042

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

Samuel Logan Apn 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 ID941518823

PECOS Enrollment IDI20150925000715

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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 20

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

MEGAN A VAN HOORN APN-CNS

Clinical Nurse Specialist