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

Q: 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.

Q: 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.

Q: 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 6 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.

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: August 02, 2026.

On this page

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, is affiliated with Memorial Hospital, 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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

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.

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

15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Dukes Memorial Hospital

Critical Access Hospitals · Peru, IN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number151318

Location275 W 12th StPeru, IN 46970 · Miami County

Emergency services Birthing friendly

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