Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Logan Nicholas Nocerino, PA-C

Individual provider Physician Assistant · NPI 1851763619

Logan Nicholas Nocerino, PA-C is a Physician Assistant in Tucson, Arizona. Qualified in 2015, 11 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2450 E River Rd
Tucson, AZ 85718-6526
Phone: (520) 795-7750
Fax: (520) 320-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6253 (AZ)

Record details

NPI number1851763619
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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