Logan Michael Bustos, CRNA
NPI 1942938360ActiveIndividual· Nurse Anesthetist, Certified Registered· Coffeyville, KS
Nurse Anesthetist, Certified Registered (CRNA) with Integral Anesthesia LLC, practicing in Coffeyville, Kansas. Medicare paid $19,951 for services to 138 patients in 2024. Lists Ascension St John Medical Center as a hospital affiliation.
Overview
| NPI | 1942938360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Aug 12, 2022 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 213377 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 144 across 56 procedure codes |
| Paid by Medicare | $19,951 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Integral Anesthesia LLCOwasso, OK · 159 clinicians
Hospital affiliation
- Ascension St John Medical CenterTulsa, OK
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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