LOGAN BECKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265951339

LOGAN BECKER (CRNA) is a healthcare provider. based in Glencoe, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2106 (MN). The NPI Number for LOGAN BECKER (CRNA) is 1265951339

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN BECKER (CRNA)
NPI
1265951339
Phone
(507) 525-3881
Address
1805 HENNEPIN AVE N
Enumeration Date
11 September 2017
Last Update Date
15 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3208643121
Graduation Year
2017 (9 years ago)
PAC ID
5890061832
Group Practice PAC ID
1759292980
Professional Enrollment ID
I20171019001029
Address ID
MN553361416GL1805XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for LOGAN BECKER (CRNA)

  • Glencoe Regional Health Services, 1805, Hennepin Avenue North, Perez Mobile Home Park, Glencoe, McLeod County, Minnesota, 55336, United States

    GLENCOE, MN 553361416

    Phone: (507) 525-3881

    Mailing address matches the actual address.

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: 2017-10-19

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
I20171019001029ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 55336)

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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: 1759292980View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Physician AssistantMN
Emergency MedicineMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What number should I use to identify LOGAN BECKER (CRNA) for billing?
Administrative and clinical systems typically use NPI 1265951339 for LOGAN BECKER (CRNA).
Does the public listing show LOGAN BECKER (CRNA) as active?
LOGAN BECKER (CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits LOGAN BECKER (CRNA)?
NPPES ties LOGAN BECKER (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LOGAN BECKER (CRNA)?
LOGAN BECKER (CRNA) is associated with Glencoe, Minnesota in the same public data insurers reference.
Why is information missing for LOGAN BECKER (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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