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

Mercydes L. Prewett, APRN-CNP

Individual provider Nurse Practitioner · NPI 1780254888

Mercydes L. Prewett, APRN-CNP is a Nurse Practitioner in Logan, Ohio. Qualified in 2020, 6 years ago. Practices with Osup Community Outreach LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

601 State Route 664 N
Logan, OH 43138-8541
Phone: (740) 380-8000
Show map & directions

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

Additional practice locations (1)

  • 210 Latchaw Dr, Defiance, OH 43512-4315 — (419) 785-4215

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0028574 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0028574 (OH)

Record details

NPI number1780254888
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Logan