Logan Shively, PA
NPI 1558907717 · Physician Assistant · Cincinnati, OH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan Shively, PA is a Physician Assistant provider in Cincinnati, OH (NPI 1558907717).
Provider details
- NPI number
- 1558907717
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 50.006704 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-22
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Logan Shively's NPI number?
- Logan Shively's National Provider Identifier (NPI) is 1558907717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Shively's specialty?
- Logan Shively is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Logan Shively located?
- Logan Shively's practice location on file with NPPES is 2139 Auburn Ave, Cincinnati, OH 45219-2906.
- What is Logan Shively's phone number?
- The practice phone number listed in the NPPES registry for Logan Shively is (513) 792-7445.
- Does Logan Shively accept Medicare?
- Logan Shively is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Logan Shively's NPI active?
- Yes — Logan Shively's NPI (1558907717) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.