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

Mr. Logan Nielson, PA-C

Individual provider Medical Physician Assistant · NPI 1184199648

Mr. Logan Nielson, PA-C is a Physician Assistant in Burley, Idaho. Qualified in 2018, 8 years ago. Practices with R. Bret Campbell, DO and Assoc, LLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

382 N Overland Ave
Burley, ID 83318-3433
Phone: (208) 678-6996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 133 W Avenue A, Jerome, ID 83338-2630 — (208) 324-2004
  • 2392 Addison Ave E, Twin Falls, ID 83301-6745 — (208) 933-4440

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (ID)

Record details

NPI number1184199648
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice R. Bret Campbell, Do And Assoc, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Burley