LOGAN JAMES ROACH
NPI 1043000466
Nurse Anesthetist, Certified Registered in Goodyear, AZ

Q: What is Logan Roach's NPI number?

The NPI number for Logan Roach is 1043000466. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Q: What is Logan Roach's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Roach was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2025Accepts Medicare Assignment

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, May 8, 2025 (2 updates tracked since 2025).

On this page

About Logan James Roach NPPES

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

LOGAN JAMES ROACH (NPI 1043000466) is an individual nurse anesthetist, certified registered in Goodyear, Arizona, licensed in Arizona (325242) and active in the NPI registry since May 2025. He is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2022).

NPPES Registry Identity

NPI1043000466

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLOGAN JAMES ROACH

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address1800 E Van Buren StPhoenix, AZ 85006-3742 · (800) 402-0881

Phone(623) 882-1500

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2022

Enumeration DateMay 8, 2025

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1043000466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AZ · 325242

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

13677 W MCDOWELL RD, Goodyear, AZ 85395

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan James Roach is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921508771

PECOS Enrollment IDI20250826000254

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

HOSPITAL DEVELOPMENT OF WEST PHOENIX INC

Internal Medicine (Cardiovascular Disease)