LOGAN BLAZE WILSON FNP-C
NPI 1124678305
Nurse Practitioner - Family in Plano, TX

Q: What is Logan Wilson's NPI number?

The NPI number for Logan Wilson is 1124678305. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Q: What is Logan Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Logan Wilson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 18, 2019PECOS Enrolled

6529 W PLANO PKWY STE D, PLANO, TX 75093(972) 781-1414 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Oct 9, 2019, Sep 23, 2019 and 1 more (4 updates tracked since 2019).

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About Logan Blaze Wilson Fnp-c NPPES

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

LOGAN BLAZE WILSON FNP-C (NPI 1124678305) is an individual family provider in Plano, Texas, licensed in Texas (AP143063) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124678305

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLOGAN BLAZE WILSONCredential: FNP-C

Location Address6529 W PLANO PKWY STE DPlano, TX 75093-8262

Mailing Address6529 W Plano Pkwy Ste DPlano, TX 75093-8262 · (972) 781-1414

Phone(972) 781-1414

Sole ProprietorNo

Enumeration DateSeptember 18, 2019

Last NPPES UpdateJanuary 13, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1124678305 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 TX · AP143063

6529 W PLANO PKWY STE D, Plano, TX 75093

Open in Google Maps ↗

Other Identifiers 2

OtherPENDINGTX · Bcbstx

MedicaidPENDINGTX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Blaze Wilson Fnp-c 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 75093 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 4

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

JESSICA MARIE SALGADO FNP-BC

Nurse Practitioner (Family)

6529 W PLANO PKWY STE D
PLANO, TX 75093

Collin County (972) 781-1414

BRADY FRANKLIN

Nurse Practitioner

6529 W PLANO PKWY STE D
PLANO, TX 75093

Collin County (972) 781-1414

ELIZABETH STEPHENSON FNP

Nurse Practitioner (Family)

6529 W PLANO PKWY STE D
PLANO, TX 75093

Collin County (972) 781-1414

SHELBY NICOLE WALKER RN, APRN, CPNP-PC

Nurse Practitioner (Pediatrics)

6529 W PLANO PKWY STE D
PLANO, TX 75093

Collin County (972) 781-1414

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 Logan Wilson's NPI number?

The NPI number for Logan Wilson is 1124678305. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Logan Wilson located?

Logan Wilson practices at 6529 W Plano Pkwy Ste D, Plano, TX 75093. The listed phone number is (972) 781-1414.

What is Logan Wilson's specialty?

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

Is Logan Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Logan Wilson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.