Individual provider Active NPI

Logan D Higbee, PA-C

  • Medical Physician Assistant
  • Pocatello, ID
National Provider Identifier
1992019202
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1025 Issued in ID
Practice address
1000 N 8TH Ave
Pocatello, ID 83201-5757
Phone
(208) 232-6260
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-1025 ID Primary

Addresses

Primary practice location

1000 N 8TH Ave
Pocatello, ID 83201-5757

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000337 ID Practitioner - Physician Assistant 5991991481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

1000 N 8TH Ave
Pocatello, ID 83201-5757
Phone 20823278621122

465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122

85 S 5TH
Lava Hot Springs, ID 83246-1603
Phone 20823278621122

880 W Quinn Rd
Chubbuck, ID 83202-2454
Phone 20823278621122

Hospital & facility affiliations

  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4658AZMDOccupational Therapist
PA-1025IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Health West Inc. CurrentSince Jan 1, 2016 Accepting new patients
Health West, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

500 S 11th Ave
Ste 400
Pocatello, ID 83201

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: logan.higbee.1@16258.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1992019202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862",
            "fax_number": "208-232-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 8TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015757",
            "telephone_number": "208-232-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGBEE",
        "first_name": "LOGAN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.