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LOGAN KODYSZ NP
NPI 1215697941
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since December 21, 2021PECOS Enrolled
2601 N 3RD ST STE 205, PHOENIX, AZ 85004(602) 492-2121(602) 354-9301 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Feb 27, 2023, Feb 17, 2023 and 2 more (5 updates tracked since 2021).

About Logan Kodysz Np NPPES

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

LOGAN KODYSZ NP (NPI 1215697941) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (268124) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215697941
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLOGAN KODYSZCredential: NP
Location Address2601 N 3RD ST STE 205Phoenix, AZ 85004-1145
Mailing Address2601 N 3rd St Ste 205Phoenix, AZ 85004-1145 · (602) 492-2121 · Fax (602) 354-9301
Phone(602) 492-2121
Fax(602) 354-9301
Sole ProprietorNo
Enumeration DateDecember 21, 2021
Last NPPES UpdateOctober 4, 20235 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1215697941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 268124
2601 N 3RD ST STE 205, Phoenix, AZ 85004
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, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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 Kodysz 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 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

LACY GARTH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (480) 494-3164
DESERT CLOVER PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121
MEGHAN TERWILLIGER
Counselor (Professional)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121

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 Kodysz's NPI number?

The NPI number for Logan Kodysz is 1215697941. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Where is Logan Kodysz located?

Logan Kodysz practices at 2601 N 3rd St Ste 205, Phoenix, AZ 85004. The listed phone number is (602) 492-2121.

What is Logan Kodysz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Logan Kodysz enrolled in Medicare?

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

What insurance does Logan Kodysz accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Logan Kodysz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Kodysz was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.