LOGAN MERTLIK (PA) – Physician Assistant, NPI 1740903673

LOGAN MERTLIK (PA) is a healthcare provider. based in Aurora, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2817 (NE). The NPI Number for LOGAN MERTLIK (PA) is 1740903673

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN MERTLIK (PA)
NPI
1740903673
Phone
Not provided
Address
609 O ST
Enumeration Date
26 September 2022
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027623236
Graduation Year
2022 (4 years ago)
PAC ID
0446636369
Group Practice PAC ID
1355394040
Professional Enrollment ID
I20220929003808
Address ID
NE689331130CL319XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for LOGAN MERTLIK (PA)

  • 609 O ST

    AURORA, NE 688181100

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $446.

Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($91).

Total Amount

$446

General + Research + Ownership

Payments

24

Total payment records

General Amount

$446

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220929003808IPhysician AssistantNETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes141128$0
99214Established patient office or other outpatient visit, 30-39 minutes4739$0
99283Emergency department visit with low level of medical decision making3633$0
99284Emergency department visit with moderate level of medical decision making2423$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 68818)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355394040View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm LOGAN MERTLIK (PA)'s NPI?
Yes. LOGAN MERTLIK (PA) is listed with NPI 1740903673 in the public NPI dataset.
Is LOGAN MERTLIK (PA) listed as active for patients and plans?
The listing shows LOGAN MERTLIK (PA) as active in the NPI system.
What healthcare role does LOGAN MERTLIK (PA) hold?
Scheduling teams often label LOGAN MERTLIK (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LOGAN MERTLIK (PA) based?
LOGAN MERTLIK (PA) is tied to Aurora, Nebraska in the data we show; additional addresses may exist on the full record.
Why does LOGAN MERTLIK (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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