LOGAN SLACK – Physician Assistant, NPI 1982328480
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for LOGAN SLACK
2000 UNIVERSITY AVE
DUBUQUE, IA 520015050
Phone:
Type: Mailing
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-9419
Type: Mailing
1300 ANNE ST NW
BEMIDJI, MN 566015103
Phone: (218) 751-9746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $693.
Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Sioux Surgical Inc ($520).
Total Amount
$693
General + Research + Ownership
Payments
11
Total payment records
General Amount
$693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sioux Surgical Inc | $520 |
| Arthrex, Inc. | $173 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240726001847 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| A N E S T H E S I O L O G Y | MN | |
| H E M A T O L O G Y/ O N C O L O G Y | ND | |
| - | MN | |
| N E U R O L O G Y | MN | |
| - | ND | |
| - | MN | |
| O T O L A R Y N G O L O G Y | IL | |
| - | SD | |
| - | MN |
Reviews
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