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

Mr. Logan Michael Bustos, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1942938360

Mr. Logan Michael Bustos, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Coffeyville, Kansas. Qualified in 2023, 3 years ago. Practices with Integral Anesthesia LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2022
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

101 S Parkview St
Coffeyville, KS 67337
Phone: (620) 252-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 213377 (OK)

Record details

NPI number1942938360
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integral Anesthesia Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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