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TIFFANY LOGAN
NPI 1508565219
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since March 01, 2023Accepts Medicare Assignment
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 974-2191 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Mar 1, 2023 (2 updates tracked since 2023).

About Tiffany Logan NPPES

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

TIFFANY LOGAN (NPI 1508565219) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (RN9448351) and active in the NPI registry since March 2023. She is affiliated with Lake Regional Health System and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508565219
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTIFFANY LOGAN
Location Address12901 BRUCE B DOWNS BLVDTampa, FL 33612-4742
Mailing Address12901 Bruce B Downs BlvdTampa, FL 33612-4742
Phone(813) 974-2191
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 1, 2023
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1508565219 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
Licenses✔ Licensed in FL · RN9448351✔ Licensed in MO · 2026018269
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.
12901 BRUCE B DOWNS BLVD, Tampa, FL 33612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross and Blue Shield of Kansas City, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Logan 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 ID5698129781
PECOS Enrollment IDI20260518001210

Medicare Billing Reassignments

3

Medicare enrollment records show Tiffany Logan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gates Anesthesia LLC
787 mi
Nurse Anesthetist, Certified Registered
3211 SUGAR HILL RD
Texarkana, AR 71854
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group
NPI 1811782824 (870) 772-4440
Lake Ozark Anesthesia & Associates, Inc
915 mi
Specialist
54 HOSPITAL DR
Osage Beach, MO 65065
  • Reassigned Medicare billing, Missouri enrollment
  • 27 clinicians in this Medicare group
NPI 1184719049 (573) 302-1661
Prosser Public Hospital District Of Benton County
2,314 mi
Specialist
508 N WILBUR AVE
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1306897681 (Washington)
  • 232 clinicians in this Medicare group
NPI 1518770155 (509) 786-5599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services16 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

ALBERTO JUAN DUBOY M.D.
Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Hillsborough County (813) 259-8581
ELLEN VERENA JORGENSEN MD
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Hillsborough County (813) 974-2583
KRISTIN PATRICK MD
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-0703
ORLANDO L RUANO DO
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-8900
ANDREA VALENTINA FARACO
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Hillsborough County (813) 396-9989
ROBERT V FARESE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201
PHILIP SHENEFELT MD
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Hillsborough County (813) 974-2920
JANE NORMAN RD
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201

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 Tiffany Logan's NPI number?

The NPI number for Tiffany Logan is 1508565219. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Tiffany Logan located?

Tiffany Logan practices at 12901 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 974-2191.

What is Tiffany Logan's specialty?

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

Is Tiffany Logan enrolled in Medicare?

Yes. Tiffany Logan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tiffany Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Logan reassigns Medicare benefits to 3 organizations: Gates Anesthesia LLC (Texarkana, AR), Lake Ozark Anesthesia & Associates, Inc (Osage Beach, MO) and Prosser Public Hospital District Of Benton County (Walla Walla, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Logan accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Kansas City, Health Advantage, Octave and Premera Blue Cross Blue Shield of Alaska list Tiffany Logan 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.

Is Tiffany Logan affiliated with any hospitals?

According to CMS data, Tiffany Logan is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Tiffany Logan was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.