Individual provider Active NPI

Logan L Bianchi, PA

  • Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1730765637
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006652 Issued in CO
Practice address
4404 Barranca LN Ste 101
Castle Rock, CO 80104-7419
Phone
(720) 733-5260
Fax
(720) 733-5261
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA219016 OR
Physician Assistant 363A00000X PA.0006652 CO Primary

Addresses

Primary practice location

4404 Barranca LN Ste 101
Castle Rock, CO 80104-7419

Mailing address

715 S 9TH St
Canon City, CO 81212-4911
Phone (719) 269-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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
I20210511000469 CO Practitioner - Physician Assistant 0749699460 Reassigns benefits to 3 organizations
I20240503002190 OR Practitioner - Physician Assistant 0749699460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000

16951 E Quincy Ave
Uchmg Primary/Urgent Care Quincy
Aurora, CO 80015-1901
Phone (303) 752-5470

4323 Integrity Ctr PT
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5589 Argonne St
Denver, CO 80249-8989
Phone (720) 516-8805

9475 S University Blvd
Uchealth Primary/Urgent Care Highlands Ranc
Highlands Ranch, CO 80126-7802
Phone (303) 470-4071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
72.87

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006652COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Apr 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 21, 2025 Accepting new patients
Platte River Medical Clinic LLC Current Accepting new patients
Silverton Health CurrentSince Apr 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 21, 2025 Accepting new patients
Uchealth Community Services PastSince May 4, 2025 Accepting new patients

Locations (25 of 29)

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

Interoperability endpoints

  • Direct secure messaging: logan.bianchi.1@4045.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1730765637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S 9TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124911",
            "telephone_number": "719-269-8820",
            "fax_number": "719-204-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 BARRANCA LN STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047419",
            "telephone_number": "720-733-5260",
            "fax_number": "720-733-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "LOGAN",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA219016",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.