MS. LISA NICOLE KELLOGG CRNA
NPI 1013258896
Nurse Anesthetist, Certified Registered in Shreveport, LA

Q: What is Lisa Kellogg's NPI number?

The NPI number for Lisa Kellogg is 1013258896. It was assigned to this individual provider in the NPPES registry on March 4, 2013.

Q: What is Lisa Kellogg's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Kellogg was last updated on September 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 04, 2013Accepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 675-5000 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Lisa Nicole Kellogg Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA NICOLE KELLOGG CRNA (NPI 1013258896) is an individual nurse anesthetist, certified registered in Shreveport, Louisiana, licensed in Louisiana (AP07151) and active in the NPI registry since March 2013. She is affiliated with Ochsner Lsu Health Shreveport and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013258896

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. LISA NICOLE KELLOGGCredential: CRNA

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address9329 Castlebrook DrShreveport, LA 71129-4807 · (318) 458-9568

Phone(318) 675-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 4, 2013

Last NPPES UpdateSeptember 9, 2016

✔ NPI 1013258896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in LA · AP07151

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1541 KINGS HWY, Shreveport, LA 71103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Nicole Kellogg Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224276548

PECOS Enrollment IDI20130528000726

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)