LOGAN TAYLOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972962561

LOGAN TAYLOR (CRNA) is a healthcare provider. based in Saint charles, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 209009995 (IL). The NPI Number for LOGAN TAYLOR (CRNA) is 1972962561

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN TAYLOR (CRNA)
NPI
1972962561
Phone
Not provided
Address
311 KEN DR
Enumeration Date
11 February 2016
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188993869
Graduation Year
2015 (11 years ago)
PAC ID
5890088611
Group Practice PAC ID
0648555433
Professional Enrollment ID
I20160801000872
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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Provider Addresses for LOGAN TAYLOR (CRNA)

  • 311, Ken Drive, Saint Charles, Saint Charles County, Missouri, 63301, United States

    SAINT CHARLES, MO 633010523

    Phone:

    Type: Mailing

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    MEMORIAL HOSPITAL

    BELLEVILLE, IL 62226

    Phone: (618) 233-7750

    Type: Location

  • 20733 N BROAD ST

    CARLINVILLE, IL 626261499

    Phone: (215) 854-3141

    Fax: (217) 625-1005

    Type: Mailing

  • 1200 E Tremont St

    Hillsboro, IL 620491912

    Phone: (217) 532-4293

    Fax: (447) 448-2972

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: ABBVIE INC. ($65).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$65
View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160801000872ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20220202000659ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 63301)

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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: 0648555433View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Where can patients find LOGAN TAYLOR (CRNA)'s NPI?
You can confirm LOGAN TAYLOR (CRNA) with NPI 1972962561; it appears in the national provider directory.
Is LOGAN TAYLOR (CRNA) active in the national directory?
LOGAN TAYLOR (CRNA)'s public NPI profile is in an active state.
What field does LOGAN TAYLOR (CRNA) work in?
You can think of LOGAN TAYLOR (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for LOGAN TAYLOR (CRNA)?
We surface Saint Charles, Missouri for LOGAN TAYLOR (CRNA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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