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Logan Hall, PA-C

NPI 1639086754ActiveIndividual· Physician Assistant· Champaign, IL

Physician Assistant (PA-C) in Champaign, Illinois, licensed in IL, with an NPI issued in August 2026.

Overview

NPI1639086754
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 25, 2026
Last updated in NPPESNov 3, 2026
Certified by providerNov 3, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085012450IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Champaign

All 45 physician assistants in Champaign · All physician assistants in Illinois