KATHLEEN P LOGAN CRNA
NPI 1548534175
Nurse Anesthetist, Certified Registered in Bangor, ME

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
360 BROADWAY, BANGOR, ME 04401(207) 907-1430(207) 907-3508 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2022, Dec 3, 2019 (2 updates tracked since 2019).

About Kathleen P Logan Crna NPPES

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

KATHLEEN P LOGAN CRNA (NPI 1548534175) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (RNA163052) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1548534175
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATHLEEN P LOGANCredential: CRNA
Location Address360 BROADWAYBangor, ME 04401
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Fax(207) 907-3508
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 29, 2012
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1548534175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in ME · RNA163052✔ Licensed in NJ · 26NJ00367900
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
360 BROADWAY, Bangor, ME 04401

Secondary Practice Location 1

Location 1350 Engle St, Anesthesia DepartmentEnglewood, NJ 07631-1808 · Phone (201) 894-3322 · Fax (201) 894-0585

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

Kathleen P Logan Crna 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 ID9830350388
PECOS Enrollment IDI20170327000100
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 Kathleen Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 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.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
34 services34 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
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.

Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Surgery
360 BROADWAY
BANGOR, ME 04401
Surgery
360 BROADWAY
BANGOR, ME 04401
Specialist
360 BROADWAY
BANGOR, ME 04401
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401

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 Kathleen Logan's NPI number?

The NPI number for Kathleen Logan is 1548534175. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Kathleen Logan located?

Kathleen Logan practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1430.

What is Kathleen Logan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kathleen Logan enrolled in Medicare?

Yes. Kathleen 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 organization bills Medicare for Kathleen Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Logan reassigns Medicare benefits to St. Joseph Hospital (Bangor, ME). 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 Kathleen Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Logan affiliated with any hospitals?

According to CMS data, Kathleen Logan is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Logan was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.