NPPES file of Aug 9, 2026

Logan Roles

Physician Assistant · Oklahoma City, OK

Logan Roles is a physician assistant with a practice address in Oklahoma City, Oklahoma, and NPI 1720887169, issued on Mar 10, 2025. Check the license (Oklahoma 5576, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720887169
Name
Logan Roles
Primary taxonomy
Physician Assistant 363A00000X
License number
5576 OK
Self-reported in NPPES; status is on the state search
Practice location
9800 Broadway Ext Ste 203, Oklahoma City, OK 73114
Phone
(405) 424-5426
Enumerated
Mar 10, 2025
Record last updated
Jun 5, 2026
Medicare enrollment
Enrolled (PECOS I20251009000242); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9800 Broadway Ext Ste 203

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Arthur Beacham, D.O.Interventional Pain Medicine Physician1144474362
  2. Sarah HigginbothamFamily Nurse Practitioner1730674789
  3. Ryan Nelson, DOOrthopaedic Surgery Physician1225292444
  4. Andrea Wray, PAMedical Physician Assistant1619268901

Verify Logan Roles in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
    Search for license 5576
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oklahoma license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Logan Roles among 1,870 physician assistant records in Oklahoma

Logan Roles is one of 1,870 physician assistant records with a practice address in Oklahoma. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 94% of them.

  • NPI issued2025 · 94% of these records are older, 2% newer
  • In a Medicare fileNo · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2025 · median 2017 among the 1,246 with a school on file
  • Record last updated2026 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

673 physician assistant records list a practice address in Oklahoma City

They are 673 of the 22,359 NPPES records with a practice address in Oklahoma City, and 1,870 physician assistant records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. Shannan Carmouche, PAOklahoma City, OK 731141770560161
  2. Jennifer Dodson, P.A.Oklahoma City, OK 731141467450510
  3. Donald Flinn, PA-COklahoma City, OK 731141912905936
  4. Ralph Fountain, PAOklahoma City, OK 731141578562328
  5. Lindsey Gillispie, PA-COklahoma City, OK 731141477551513
  6. Joanna Hart, PA-COklahoma City, OK 731141669470902
  7. Lisa Kippenberger, PA-COklahoma City, OK 731141881693414
  8. Kevin Mason, PA-COklahoma City, OK 731141558335539

Common questions

What is Logan Roles's NPI number?

Logan Roles's National Provider Identifier (NPI) is 1720887169, issued on Mar 10, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Logan Roles located?

The NPPES record lists a practice address at 9800 Broadway Ext Ste 203, Oklahoma City, OK, 73114. Phone: (405) 424-5426. Providers update this record themselves, so call before visiting.

How can I verify Logan Roles's license?

NPPES lists Oklahoma license number 5576, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.