Individual provider Active NPI

Logan Stimpson, MSNA

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1356110423
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
854112 Issued in NV
Practice address
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone
(702) 916-5000
NPI assigned
Dec 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 854112 NV Primary

Addresses

Primary practice location

9300 W Sunset Rd
Las Vegas, NV 89148-4844

Mailing address

8733 Apiary Wind St
Las Vegas, NV 89131-4201
Phone (385) 240-7522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319001413 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133566755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants-Beckett-PLLCGroup PAC ID 6507925849, 42 clinicians

Practice addresses (Care Compare)

2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900

8656 W Patrick LN
Las Vegas, NV 89148-5043
Phone (702) 777-7100

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100

Hospital & facility affiliations

  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants-Beckett-PLLC CurrentSince Feb 27, 2024 Accepting new patients

Locations

10120 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 487-6880

8656 W Patrick Ln
Las Vegas, NV 89148
Phone (702) 509-9904

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1356110423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 APIARY WIND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314201",
            "telephone_number": "385-240-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484844",
            "telephone_number": "702-916-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMPSON",
        "first_name": "LOGAN",
        "credential": "MSNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "854112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.