Jessica Logan, RN, NP
NPI 1043040975ActiveIndividual· Nurse Practitioner, Adult Health· Dearborn, MI
Nurse Practitioner, Adult Health (RN, NP) with Beaumont Medical Group- Specialty Services, practicing in Dearborn, Michigan. Enrolled in Medicare as practitioner - nurse practitioner. Lists Beaumont Hospital - Dearborn as a hospital affiliation.
Overview
| NPI | 1043040975 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, NP |
| Sole proprietor | No |
| NPI issued | Aug 5, 2024 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4704330120 | MI |
| Registered Nurse, Critical Care Medicine | 163WC0200X | 4704330120 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Beaumont Medical Group- Specialty ServicesBerkley, MI · 847 clinicians
Hospital affiliation
- Beaumont Hospital - DearbornDearborn, MI
Other facilities
- Compassus Home HealthHome health agency · Warren, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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