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

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