MARY C LOGALBO (PMHNP-BC) – Licensed Practical Nurse, NPI 1427451509

MARY C LOGALBO (PMHNP-BC) is a healthcare provider. based in Oswego, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209.011822 (IL). The NPI Number for MARY C LOGALBO (PMHNP-BC) is 1427451509

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY C LOGALBO (PMHNP-BC)
NPI
1427451509
Phone
(630) 392-3431
Address
748 VERSAILLES PKWY
Enumeration Date
2 October 2014
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6304287890
Graduation Year
2020 (6 years ago)
PAC ID
9739530866
Group Practice PAC ID
3971963901
Professional Enrollment ID
I20240112001704
Address ID
IL605047542AU2124XAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARY C LOGALBO (PMHNP-BC)

  • 748 VERSAILLES PKWY

    OSWEGO, IL 605436019

    Phone: (630) 392-3431

    Type: Mailing

  • 2124 OGDEN AVE STE 301

    AURORA, IL 605047542

    Phone: (630) 392-3431

    Type: Location

  • 84 TEMPLETON DR

    SUITE 106

    OSWEGO, IL 605437018

    Phone: (630) 554-7654

    Fax: (630) 554-9258

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240112001704INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60543)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971963901View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Nurse PractitionerIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical Social WorkerNM
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify MARY C LOGALBO (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1427451509 for MARY C LOGALBO (PMHNP-BC).
Does the public listing show MARY C LOGALBO (PMHNP-BC) as active?
MARY C LOGALBO (PMHNP-BC)'s NPI record reflects an active status in NPPES.
Which specialty label fits MARY C LOGALBO (PMHNP-BC)?
NPPES ties MARY C LOGALBO (PMHNP-BC) to Licensed Practical Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MARY C LOGALBO (PMHNP-BC) tied to Oswego, Illinois?
If you are local to Oswego, Illinois, MARY C LOGALBO (PMHNP-BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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