Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Gillen

Individual provider Family Nurse Practitioner · NPI 1508539438

Logan Gillen is a Nurse Practitioner in Bedford, Ohio. Qualified in 2021, 5 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

44 Blaine Ave
Bedford, OH 44146-2709
Phone: (440) 735-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27100 Chardon Rd, Richmond Heights, OH 44143-1116 — (440) 585-6500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0029331 (OH)

Record details

NPI number1508539438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 15, 2021
Mailing address7367 Brook Ln, Chesterland, OH 44026-1207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bedford