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LOGAN SHANE
NPI 1942770706
Counselor - Professional in Bend, OR

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Dec 4, 2018 (2 updates tracked since 2018).

About Logan Shane NPPES

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

LOGAN SHANE (NPI 1942770706) is an individual professional provider in Bend, Oregon, licensed in Oregon (C6266) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942770706
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLOGAN SHANE
Location Address2577 NE COURTNEY DRBend, OR 97701-7752
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 4, 2018
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1942770706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C6266
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2577 NE COURTNEY DR, Bend, OR 97701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Logan Shane 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 ID4981054061
PECOS Enrollment IDI20240102002992
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.

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.

JOANNE WHITE
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
MRS. MARINA ASHLEY KENT RN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7480
KATHLEEN ELIZABETH CHRISTENSEN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
DESCHUTES COUNTY OREGON
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
TONI BERUBE
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7678
EMMA SUSANN ANDERSON LCSW
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TRENT MORRELL
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TAYLOR ELIZABETH SEXTON
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500

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 Shane's NPI number?

The NPI number for Logan Shane is 1942770706. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Logan Shane located?

Logan Shane practices at 2577 NE Courtney Dr, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Logan Shane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Logan Shane enrolled in Medicare?

Yes. Logan Shane 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.

What insurance does Logan Shane accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Logan Shane 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 Shane was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.