LOGAN THOMAS SMITH (CNP) – Family Nurse Practitioner, NPI 1770964157

LOGAN THOMAS SMITH (CNP) is a healthcare provider. based in Miamisburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.17702-NP (OH). The NPI Number for LOGAN THOMAS SMITH (CNP) is 1770964157

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN THOMAS SMITH (CNP)
NPI
1770964157
Phone
(937) 762-1300
Address
1 PRESTIGE PL STE 550
Enumeration Date
11 June 2015
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2015 (11 years ago)
PAC ID
2769796549
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20150806012944
Address ID
OH454292405KE4441XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
lsmith706506@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LOGAN THOMAS SMITH (CNP)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1300

    Fax: (937) 522-9990

    Type: Mailing

  • 770 W High St

    Ste. 350

    Lima, OH 458013990

    Phone: (419) 225-9210

    Fax: (419) 225-7472

    Type: Location

  • 600 W MAIN ST STE 340

    TROY, OH 453733384

    Phone: (937) 980-7460

    Fax: (937) 980-7464

    Type: Mailing

  • 1258 BELLEFONTAINE ST STE A

    WAPAKONETA, OH 45895

    Phone: (419) 739-1980

    Fax: (419) 739-1982

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($68).

Total Amount

$182

General + Research + Ownership

Payments

4

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-08-06

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
I20150806012944INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes290234$0
81003Automated urinalysis test166139$0
99214Established patient office or other outpatient visit, 30-39 minutes12694$0
51798Ultrasound measurement of bladder capacity after voiding7767$0
99443Telephone medical discussion with physician, 21-30 minutes7657$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

How do payers reference LOGAN THOMAS SMITH (CNP)?
For LOGAN THOMAS SMITH (CNP), use NPI 1770964157 as the unique 10-digit identifier.
Is there an active status for LOGAN THOMAS SMITH (CNP)?
For scheduling context, LOGAN THOMAS SMITH (CNP) is shown as active in the registry.
What clinical focus is listed for LOGAN THOMAS SMITH (CNP)?
At a glance, LOGAN THOMAS SMITH (CNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LOGAN THOMAS SMITH (CNP)?
Directory geography for LOGAN THOMAS SMITH (CNP) centers on Miamisburg, Ohio.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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