DR. LOGAN WILZ PSY.D.
NPI 1598544116
Psychologist - Clinical in Green Bay, WI

Q: What is Logan Wilz's NPI number?

The NPI number for Logan Wilz is 1598544116. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Q: What is Logan Wilz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Logan Wilz was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2023PECOS Enrolled

3150 GERSHWIN DR, GREEN BAY, WI 54311(920) 391-6952(920) 391-4811 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Logan Wilz Psy.d. NPPES

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

DR. LOGAN WILZ PSY.D. (NPI 1598544116) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (5461) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1598544116

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LOGAN WILZCredential: PSY.D.

Location Address3150 GERSHWIN DRGreen Bay, WI 54311-4328

Mailing Address2593 Fairview RdNeenah, WI 54956-9568 · (920) 538-0122 · Fax (920) 391-4811

Phone(920) 391-6952

Fax(920) 391-4811

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 25, 2023

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1598544116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 5461

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3150 GERSHWIN DR, Green Bay, WI 54311

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Logan Wilz Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406346188

PECOS Enrollment IDI20251111000625

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 54311 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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