NPI age
7 years
Enumerated 2018-10-10
● Active
Type 1 · Individual
MR. Logan Nielson, PA-C
Nielson is 1 of 4 physician assistant providers in Burley and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-10Enumerated in NPPES
2018
2026
Where they practice
Practice location
382 N Overland Ave
Burley, ID 833183433
Mailing address
300 Dennis Dr
Burley, ID 833183217
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
133 W Avenue A
Jerome, ID 833382630
Location 3
2392 Addison Ave E
Twin Falls, ID 833016745
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.