LOGAN REVILL APRN
NPI 1386513703
Nurse Practitioner - Critical Care Medicine in Tulsa, OK

Active since November 03, 2025PECOS EnrolledAccepts Medicare Assignment
6161 S YALE AVE, TULSA, OK 74136(918) 494-2200 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Logan Revill Aprn NPPES

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

LOGAN REVILL APRN (NPI 1386513703) is an individual critical care medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (227095) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of University Of Alabama School Of Medicine (2025).

NPPES Registry Identity

NPI1386513703
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameLOGAN REVILLCredential: APRN
Location Address6161 S YALE AVETulsa, OK 74136-1902
Mailing Address23003 E 104th St SBroken Arrow, OK 74014-6256 · (918) 760-6709
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025
Enumeration DateNovember 3, 2025
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1386513703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in OK · 227095
6161 S YALE AVE, Tulsa, OK 74136

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

Logan Revill Aprn 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 ID7012485311
PECOS Enrollment IDI20260505003330
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.

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Surgery (Surgical Critical Care)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Physical Therapist
6161 S YALE AVE
TULSA, OK 74136
Physical Therapy Assistant
6161 S YALE AVE
TULSA, OK 74136
Rehabilitation Unit
6161 S YALE AVE
TULSA, OK 74136
General Acute Care Hospital (Critical Access)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Hospitalist
6161 S YALE AVE
TULSA, OK 74136

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 Revill's NPI number?

The NPI number for Logan Revill is 1386513703. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Logan Revill located?

Logan Revill practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 494-2200.

What is Logan Revill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Logan Revill enrolled in Medicare?

Yes. Logan Revill 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.

Is Logan Revill affiliated with any hospitals?

According to CMS data, Logan Revill is affiliated with Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Logan Revill was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.