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

Logan Thomas Smith, CNP

Individual provider Family Nurse Practitioner · NPI 1770964157

Logan Thomas Smith, CNP is a Nurse Practitioner in Wapakoneta, Ohio. Qualified in 2015, 11 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1258 Bellefontaine St Ste A
Wapakoneta, OH 45895
Phone: (419) 739-1980
Fax: (419) 739-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 770 W High St, Lima, OH 45801-3990 — (419) 225-9210

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.17702 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.17702-NP (OH)

Record details

NPI number1770964157
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address600 W Main St Ste 340, Troy, OH 45373-3384

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wapakoneta