Individual provider Active NPI

Logan Crist

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1720528805
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
87-0788731 Issued in CO
Practice address
1497 Solitaire St
Colorado Springs, CO 80905-4255
Phone
(440) 371-3063
NPI assigned
Mar 8, 2017
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 87-0788731 CO Primary

Addresses

Primary practice location

1497 Solitaire St
Colorado Springs, CO 80905-4255

Mailing address

1497 Solitaire St
Colorado Springs, CO 80905-4255
Phone (440) 371-3063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170516000322 CO Practitioner - Physician Assistant 7618254970 Reassigns benefits to 4 organizations
I20211223001175 WA Practitioner - Physician Assistant 7618254970 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 13, 2023 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Mar 1, 2021 Accepting new patients
Logan Crist PA & Company Physician Assistant CurrentSince Aug 17, 2025 Accepting new patients
Multicare Health System CurrentSince May 13, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Mar 23, 2025 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc CurrentSince Mar 23, 2025 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Mar 1, 2021 Accepting new patients
Usacs of Colorado Inc CurrentSince Mar 23, 2025 Accepting new patients
Usacs of Colorado, Inc. CurrentSince Mar 23, 2025 Accepting new patients
Cobc Brands Direct Primary Care CurrentSince Aug 17, 2025 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1720528805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 SOLITAIRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054255",
            "telephone_number": "440-371-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 SOLITAIRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054255",
            "telephone_number": "440-371-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "87-0788731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.