Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Delaney Waterman

Individual provider Surgical Physician Assistant · NPI 1386378685

Logan Delaney Waterman is a Physician Assistant in Springfield, Massachusetts. Qualified in 2023, 3 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

2 Medical Center Dr Ste 309
Springfield, MA 01107-1271
Phone: (413) 794-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1386378685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address280 Chestnut St Fl 2, Springfield, MA 01199-1001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield