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MRS. SHAWNTEL LOGAN NP
NPI 1013513522
Nurse Practitioner - Family in Victorville, CA

Active since December 09, 2020PECOS Enrolled
12760 HESPERIA RD STE C, VICTORVILLE, CA 92395(760) 338-0911 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Dec 9, 2020 (2 updates tracked since 2020).

About Mrs. Shawntel Logan Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHAWNTEL LOGAN NP (NPI 1013513522) is an individual family provider in Victorville, California, licensed in California (95016075) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013513522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHAWNTEL LOGANCredential: NP
Location Address12760 HESPERIA RD STE CVictorville, CA 92395-8305
Mailing Address12760 Hesperia Rd Ste CVictorville, CA 92395-8305
Phone(760) 338-0911
Sole ProprietorNo
Enumeration DateDecember 9, 2020
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1013513522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95016075
12760 HESPERIA RD STE C, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shawntel Logan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHIRAG PANKAJ MEHTA M.D.
Internal Medicine (Cardiovascular Disease)
12760 HESPERIA RD STE C
VICTORVILLE, CA 92395
San Bernardino County (760) 338-0911
JUVILUSAN S. SALAZAR, M.D., INC.
Clinic/Center (Primary Care)
12760 HESPERIA RD STE C
VICTORVILLE, CA 92395
San Bernardino County (760) 241-8088
CHIRAG P. MEHTA, MD INC.
Internal Medicine (Cardiovascular Disease)
12760 HESPERIA RD STE C
VICTORVILLE, CA 92395
San Bernardino County (760) 338-0911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawntel Logan's NPI number?

The NPI number for Shawntel Logan is 1013513522. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Shawntel Logan located?

Shawntel Logan practices at 12760 Hesperia Rd Ste C, Victorville, CA 92395. The listed phone number is (760) 338-0911.

What is Shawntel Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawntel Logan enrolled in Medicare?

Yes. Shawntel Logan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawntel Logan was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.