MR. RYAN LOGAN (APRN) – Family Nurse Practitioner, NPI 1457130775

MR. RYAN LOGAN (APRN) is a healthcare provider. based in Erie, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. SP028302 (PA). The NPI Number for MR. RYAN LOGAN (APRN) is 1457130775

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN LOGAN (APRN)
NPI
1457130775
Phone
(814) 323-3299
Address
3536 HEREFORD RD
Enumeration Date
26 September 2023
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148649994339
Graduation Year
2023 (3 years ago)
PAC ID
0749631356
Group Practice PAC ID
0648184283
Professional Enrollment ID
I20240108006214
Address ID
PA165055007ER1645XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MR. RYAN LOGAN (APRN)

  • 3536 HEREFORD RD

    ERIE, PA 165102451

    Phone: (814) 323-3299

    Type: Mailing

  • 1645 W 8TH ST

    ERIE, PA 165055007

    Phone: (814) 864-9994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: GENZYME CORPORATION ($29).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2024-01-08

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
I20240108006214INurse PractitionerPATBD

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 16510)

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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: 0648184283View full group profile
NameSpecialtyState
Qualified AudiologistOH
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
Qualified AudiologistPA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
Qualified AudiologistPA
O T O L A R Y N G O L O G YPA

Reviews

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Frequently asked questions

Can I cross-check MR. RYAN LOGAN (APRN) using NPI 1457130775?
NPI 1457130775 belongs to MR. RYAN LOGAN (APRN); compare other details if you need extra assurance.
Is there an active status for MR. RYAN LOGAN (APRN)?
For scheduling context, MR. RYAN LOGAN (APRN) is shown as active in the registry.
What kind of doctor is MR. RYAN LOGAN (APRN)?
MR. RYAN LOGAN (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RYAN LOGAN (APRN)?
Directory geography for MR. RYAN LOGAN (APRN) centers on Erie, Pennsylvania.
Can I trust this NPI listing for MR. RYAN LOGAN (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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