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 - Family in Chicago, IL

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 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Sep 9, 2026, Aug 12, 2020 (3 updates tracked since 2020).

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 family provider in Chicago, Illinois, licensed in Illinois (277000181) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1386012482
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
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
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 16, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1386012482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277000181
3600 W FULLERTON AVE, Chicago, IL 60647

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Logan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4802 S ASHLAND AVE
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • 132 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
424 E WABASH AVE
Rantoul, IL 61866
  • Reassigned Medicare billing, Illinois enrollment
  • 48 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.

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.

Clinical Nurse Specialist
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647

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 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.

Where is Samuel Logan located?

Samuel Logan practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Logan enrolled in Medicare?

Yes. Samuel Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Logan reassigns Medicare benefits to 2 organizations: Friend Family Health Center Inc (Chicago, IL) and Promise Healthcare Nfp (Rantoul, IL). 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 Samuel Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Logan accept?

Health plans from Oscar Health list Samuel Logan 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 Samuel Logan was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.