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

MR. MARK ALAN LOGAN PMHNP-BC
NPI 1780107433
Nurse Practitioner - Psychiatric/Mental Health in Flagstaff, AZ

Q: What is Mark Logan's NPI number?

The NPI number for Mark Logan is 1780107433. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Q: What is Mark Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Logan was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 24, 2017PECOS Enrolled

3596 W ALTAIR WAY, FLAGSTAFF, AZ 86001(913) 634-1341 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Oct 5, 2023, Sep 7, 2023 and 9 more (12 updates tracked since 2017).

On this page

About Mr. Mark Alan Logan Pmhnp-bc NPPES

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

MR. MARK ALAN LOGAN PMHNP-BC (NPI 1780107433) is an individual psychiatric/mental health provider in Flagstaff, Arizona, licensed in Arizona (316036) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780107433

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. MARK ALAN LOGANCredential: PMHNP-BC

Location Address3596 W ALTAIR WAYFlagstaff, AZ 86001-2075

Mailing Address3596 W Altair WayFlagstaff, AZ 86001-2075 · (913) 634-1341

Phone(913) 634-1341

Sole ProprietorYes

Enumeration DateJuly 24, 2017

Last NPPES UpdateOctober 8, 202612 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1780107433 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 · 316036

3596 W ALTAIR WAY, Flagstaff, AZ 86001

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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)

Mr. Mark Alan Logan Pmhnp-bc 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 86001 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.

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 Mark Logan's NPI number?

The NPI number for Mark Logan is 1780107433. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Mark Logan located?

Mark Logan practices at 3596 W Altair Way, Flagstaff, AZ 86001. The listed phone number is (913) 634-1341.

What is Mark Logan's specialty?

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

Is Mark Logan enrolled in Medicare?

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

What insurance does Mark Logan accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Logan was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.