LOGAN JOHNSON (PA-C) – Physician Assistant, NPI 1497141527
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LOGAN JOHNSON (PA-C)
3841 W Charleston Blvd Ste 203
Las Vegas, NV 891021858
Phone: (702) 848-4443
Fax: (702) 805-0299
Type: Location
PO BOX 743752
ATLANTA, GA 303743752
Phone:
Type: Mailing
10652 S EASTERN AVE
SUITE A
HENDERSON, NV 890524952
Phone: (702) 476-2800
Fax: (702) 476-2040
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-07-27
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 |
|---|---|---|---|---|
| I20150727001668 | I | Physician Assistant | NV | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 98 | 40 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 86 | 33 | $0 |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 28 | 17 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 89102)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NV | 81002 | Urinalysis, manual test | 40 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| - | OH | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | SC | |
| - | NV | |
| - | NV |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.