LISA MARIE LOGAN (PA-C) – Physician Assistant, NPI 1114098464

LISA MARIE LOGAN (PA-C) is a healthcare provider. based in Tonopah, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1023 (NV). The NPI Number for LISA MARIE LOGAN (PA-C) is 1114098464

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE LOGAN (PA-C)
NPI
1114098464
Phone
(775) 982-8255
Address
825 S MAIN ST.
Enumeration Date
10 November 2006
Last Update Date
23 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7759825000
Graduation Year
2006 (20 years ago)
PAC ID
6305947862
Professional Enrollment ID
I20070727000352
Address ID
NV894299613SI3595X50XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,238 PHYSICIAN ASSISTANT in NV

Provider Addresses for LISA MARIE LOGAN (PA-C)

  • 825 S MAIN ST.

    TONOPAH, NV 89049

    Phone: (775) 982-8255

    Fax: (775) 982-3900

    Type: Location

  • Harvard Way, Reno, Washoe County, Nevada, 89510, United States

    RENO, NV 895022055

    Phone: (775) 982-5262

    Fax: (775) 982-5496

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Exact Sciences Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

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: 2007-07-27

PECOS data refreshed: 2026-06-15

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
I20070727000352IPhysician AssistantNVTBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2220$0
83036Hemoglobin a1c level1816$0
92250Photography of the retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 89049)

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Provider's Procedures

LISA MARIE LOGAN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNV51798Ultrasound measurement of bladder capacity after voiding2019

Reviews

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Frequently asked questions

Can I verify LISA MARIE LOGAN (PA-C) with an NPI only?
You can start verification with NPI 1114098464 for LISA MARIE LOGAN (PA-C), then check state licensing separately.
Does CMS list LISA MARIE LOGAN (PA-C) as active?
Yes — LISA MARIE LOGAN (PA-C) is active in the NPI listing used on this page.
What is LISA MARIE LOGAN (PA-C)'s specialty?
The listing groups LISA MARIE LOGAN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LISA MARIE LOGAN (PA-C) based?
LISA MARIE LOGAN (PA-C) is tied to Tonopah, Nevada in the data we show; additional addresses may exist on the full record.
Why does LISA MARIE LOGAN (PA-C) 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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