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

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