TIFFANY NICOLE LOGAN NP
NPI 1790359495
Nurse Practitioner - Primary Care in Champaign, IL

Q: What is Tiffany Logan's NPI number?

The NPI number for Tiffany Logan is 1790359495. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Q: What is Tiffany Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Logan was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 17, 2021PECOS EnrolledAccepts Medicare Assignment

1701 CURTIS RD, CHAMPAIGN, IL 61822(217) 365-6201 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, May 17, 2021 (2 updates tracked since 2021).

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About Tiffany Nicole Logan Np NPPES

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

TIFFANY NICOLE LOGAN NP (NPI 1790359495) is an individual primary care provider in Champaign, Illinois, licensed in Illinois (209.021232) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1790359495

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameTIFFANY NICOLE LOGANCredential: NP

Location Address1701 CURTIS RDChampaign, IL 61822-9678

Mailing Address2302 Belmore DrChampaign, IL 61821

Phone(217) 365-6201

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 17, 2021

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1790359495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in IL · 209.021232

1701 CURTIS RD, Champaign, IL 61822

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Secondary Practice Location 1

Location 1201 N Randolph StChampaign, IL 61820-3935 · Phone (877) 726-6494

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

Tiffany Nicole Logan Np 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 ID3173996980

PECOS Enrollment IDI20230227000383

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 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.

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.

110 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

21 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services16 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

ELIZABETH A ACKERSON D.O.

Family Medicine

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-6203

SARAH LOVINGER MD

Internal Medicine

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-6207

LYNN P KELLER NP

Nurse Practitioner (Family)

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-2849

JENNIFER DESCHLER

Pharmacist (Ambulatory Care)

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-3274

AMANDA MICHELLE WALKER MD

Internal Medicine

1701 CURTIS RD, ADULT MEDICINE
CHAMPAIGN, IL 61822

Champaign County (217) 365-6207

LORI ANN TURNER APRN FNP

Nurse Practitioner (Family)

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-6203

OWAISE MANSURI MD

Internal Medicine

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-2849

MS. ERICA LYNNE LAMPO CNP

Nurse Practitioner

1701 CURTIS RD
CHAMPAIGN, IL 61822

Champaign County (217) 365-6203

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 Tiffany Logan's NPI number?

The NPI number for Tiffany Logan is 1790359495. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Tiffany Logan located?

Tiffany Logan practices at 1701 Curtis Rd, Champaign, IL 61822. The listed phone number is (217) 365-6201.

What is Tiffany Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tiffany Logan enrolled in Medicare?

Yes. Tiffany 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.

Is Tiffany Logan affiliated with any hospitals?

According to CMS data, Tiffany Logan is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Logan was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.