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

Matthew Jason Tanner

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396395067

Matthew Jason Tanner is a Nurse Practitioner in Logansport, Indiana. Qualified in 2019, 7 years ago. Practices with Four County Comprehensive Mental Health Center Inc, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019

Practice location Address checks out

1015 Michigan Ave
Logansport, IN 46947-1526
Phone: (574) 722-5151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28177692A (IN)

Record details

NPI number1396395067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address3203 Susan Dr, Kokomo, IN 46902-7506

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Four County Comprehensive Mental Health Center Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Logansport