Individual provider Active NPI

Hannah Dustin, FNP, APRN

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1962373134
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11360552-4405 Issued in UT
Practice address
2150 N Main St Ste 3
Logan, UT 84341-1740
Phone
(435) 716-8765
Fax
(435) 915-3700
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11360552-4405 UT Primary

Addresses

Primary practice location

2150 N Main St Ste 3
Logan, UT 84341-1740

Mailing address

659 S 85 E
Smithfield, UT 84335-4904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112001718 UT Practitioner - Nurse Practitioner 7618468273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Medical Group LLCGroup PAC ID 1759637879, 2 clinicians

Practice addresses (Care Compare)

2150 N Main St
Suite 3
North Logan, UT 84341-1740
Phone (435) 716-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11360552-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Medical Group LLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

2150 N Main St
Ste 3
North Logan, UT 84341
Phone (435) 716-8765

Interoperability endpoints

  • Direct secure messaging: hannah.dustin@168584194949124.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1962373134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S 85 E",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843354904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N MAIN ST STE 3",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411740",
            "telephone_number": "435-716-8765",
            "fax_number": "435-915-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTIN",
        "first_name": "HANNAH",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11360552-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.