LOGAN TAYLOR CRNA
NPI 1972962561
Nurse Anesthetist, Certified Registered in Carlinville, IL

Active since February 11, 2016PECOS Enrolled
20733 N BROAD ST, CARLINVILLE, IL 62626(217) 854-3141(217) 625-1005 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Jun 14, 2024, Jun 6, 2024 and 1 more (4 updates tracked since 2016).

About Logan Taylor Crna NPPES

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

LOGAN TAYLOR CRNA (NPI 1972962561) is an individual nurse anesthetist, certified registered in Carlinville, Illinois, licensed in Illinois (209009995) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1972962561
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameLOGAN TAYLORCredential: CRNA
Location Address20733 N BROAD STCarlinville, IL 62626-1499
Mailing Address20733 N Broad StCarlinville, IL 62626-1499 · (215) 854-3141 · Fax (217) 625-1005
Fax(217) 625-1005
Sole ProprietorNo
Enumeration DateFebruary 11, 2016
Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1972962561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209009995
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.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.013798 (IL)
20733 N BROAD ST, Carlinville, IL 62626

Secondary Practice Location 1

Location 11200 E Tremont StHillsboro, IL 62049-1912 · Phone (217) 532-4293 · Fax (447) 448-2972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Taylor Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

7

Medicare enrollment records show Logan Taylor reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
20733 NORTH BROAD STREET
Carlinville, IL 62626
  • Reassigned Medicare billing, Illinois enrollment
  • 86 clinicians in this Medicare group
Critical Access
1200 E TREMONT ST
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821078213 (Illinois)
  • 59 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2023 VADALABENE DR STE 350
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 149 clinicians in this Medicare group
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Multi-Specialty
818 E. BROADWAY STREET
Sparta, IL 62286
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
Anesthesiology
2 GOOD SAMARITAN WAY STE 200
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
Critical Access
1900 STATE ST
Chester, IL 62233
  • Reassigned Medicare billing, Illinois enrollment
  • 62 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62626 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
20733 N BROAD ST
CARLINVILLE, IL 62626
Nurse Practitioner (Family)
20733 N BROAD ST
CARLINVILLE, IL 62626
Pharmacist
20733 N BROAD ST
CARLINVILLE, IL 62626
Physical Therapist
20733 N BROAD ST
CARLINVILLE, IL 62626
Family Medicine
20733 N BROAD ST
CARLINVILLE, IL 62626
Nurse Practitioner (Family)
20733 N BROAD ST
CARLINVILLE, IL 62626
Physical Therapist
20733 N BROAD ST
CARLINVILLE, IL 62626
General Acute Care Hospital (Critical Access)
20733 N BROAD ST
CARLINVILLE, IL 62626

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 Taylor's NPI number?

The NPI number for Logan Taylor is 1972962561. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Logan Taylor located?

Logan Taylor practices at 20733 N Broad St, Carlinville, IL 62626. The listed phone number is (217) 854-3141.

What is Logan Taylor's specialty?

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

Is Logan Taylor enrolled in Medicare?

Yes. Logan Taylor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Logan Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Taylor reassigns Medicare benefits to 7 organizations: Carlinville Area Hospital Association (Carlinville, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL), G & G Anesthesia LLC (Maryville, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Sparta Community Hospital D/B/A Quality Healthcare Clinics (Sparta, IL) and 2 more organizations, listed in the Medicare section above. Each 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 Logan Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Taylor was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.