Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY KATHRYN LOGAN PA
NPI 1558047209
Physician Assistant in Lincoln, NE

Q: What is Mary Logan's NPI number?

The NPI number for Mary Logan is 1558047209. It was assigned to this individual provider in the NPPES registry on June 27, 2023. The provider is also known as Mary Kathryn Mclaughlin Pac.

Q: What is Mary Logan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Logan was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 27, 2023PECOS Enrolled

4101 TIGER LILY RD STE 100, LINCOLN, NE 68516(402) 420-7000(402) 420-6969 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2026, Mar 3, 2025 (2 updates tracked since 2025).

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About Mary Kathryn Logan Pa NPPES

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

MARY KATHRYN LOGAN PA (NPI 1558047209) is an individual physician assistant in Lincoln, Nebraska, licensed in Nebraska (3217) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2024).

NPPES Registry Identity

NPI1558047209

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY KATHRYN LOGANCredential: PA

Location Address4101 TIGER LILY RD STE 100Lincoln, NE 68516-5587

Mailing Address4101 Tiger Lily Rd Ste 100Lincoln, NE 68516-5587 · (402) 420-7000 · Fax (402) 420-6969

Phone(402) 420-7000

Fax(402) 420-6969

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2024

Enumeration DateJune 27, 2023

Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1558047209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NE · 3217

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4101 TIGER LILY RD STE 100, Lincoln, NE 68516

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Other Names 1

Former Name (1)Mary Kathryn Mclaughlin Pac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mary Kathryn Logan Pa 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 ID1254854110

PECOS Enrollment IDI20250401001984

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.

Hospital Affiliations CMS Care Compare

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280003

Location1600 South 48th StLincoln, NE 68506 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68516 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

AMANDA DAWN BAUER APRN

Internal Medicine (Hematology & Oncology)