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MATTHEW JASON TANNER
NPI 1396395067
Nurse Practitioner - Psychiatric/Mental Health in Logansport, IN

Active since September 16, 2019PECOS EnrolledAccepts Medicare Assignment
1015 MICHIGAN AVE, LOGANSPORT, IN 46947(574) 722-5151 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Jason Tanner NPPES

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

MATTHEW JASON TANNER (NPI 1396395067) is an individual psychiatric/mental health provider in Logansport, Indiana, licensed in Indiana (28177692A) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396395067
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW JASON TANNER
Location Address1015 MICHIGAN AVELogansport, IN 46947-1526
Mailing Address3203 Susan DrKokomo, IN 46902-7506 · (765) 419-0610
Phone(574) 722-5151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2019
✔ NPI 1396395067 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 IN · 28177692A
1015 MICHIGAN AVE, Logansport, IN 46947
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.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

Matthew Jason Tanner 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 ID1052743382
PECOS Enrollment IDI20191107001050
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 Reassignment

Medicare enrollment records show Matthew Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Four County Comprehensive Mental Health Center Inc
15 mi
Mental Health (Including Community Mental Health Center)
1000 N BROADWAY
Peru, IN 46970
  • Reassigned Medicare billing, Indiana enrollment
  • 55 clinicians in this Medicare group
NPI 1295562536 (574) 722-5151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
443 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46947 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH
Counselor (School)
1015 MICHIGAN AVE, MAIN CENTER
LOGANSPORT, IN 46947
Cass County (574) 722-5151
RACHEL ANN CAIN RN
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
PATRICIA RICHASON RN
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
MELISSA JO REYNOLDS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
KATHY COFFING BA
Counselor (Addiction (Substance Use Disorder))
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
LORA JEAN HOLCOMB LPN
Licensed Practical Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
LINDSEY HEDDEN BA
Case Manager/Care Coordinator
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151
RENEE MICHELLE JOHNSON RN
Registered Nurse
1015 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 722-5151

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 Matthew Tanner's NPI number?

The NPI number for Matthew Tanner is 1396395067. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Matthew Tanner located?

Matthew Tanner practices at 1015 Michigan Ave, Logansport, IN 46947. The listed phone number is (574) 722-5151.

What is Matthew Tanner's specialty?

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

Is Matthew Tanner enrolled in Medicare?

Yes. Matthew Tanner 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 organization bills Medicare for Matthew Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Tanner reassigns Medicare benefits to Four County Comprehensive Mental Health Center Inc (Peru, IN). The 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 Matthew Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Tanner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Matthew Tanner 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 Matthew Tanner was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.