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ALEXANDRA KRISTINE KELLOGG PA-C
NPI 1477236727
Physician Assistant in La Mesa, CA

Active since August 11, 2023PECOS Enrolled
6136 LAKE MURRAY BLVD, LA MESA, CA 91942(877) 693-6266 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Aug 11, 2023 (2 updates tracked since 2023).

About Alexandra Kristine Kellogg Pa-c NPPES

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

ALEXANDRA KRISTINE KELLOGG PA-C (NPI 1477236727) is an individual physician assistant in La Mesa, California, licensed in California (PA65973) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477236727
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA KRISTINE KELLOGGCredential: PA-C
Location Address6136 LAKE MURRAY BLVDLa Mesa, CA 91942-2502
Mailing Address5560 Shasta Ln Apt 44La Mesa, CA 91942-4410 · (619) 840-4756
Phone(877) 693-6266
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 11, 2023
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1477236727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65973
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6136 LAKE MURRAY BLVD, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Kristine Kellogg Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395209829
PECOS Enrollment IDI20260715001676
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 14

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

JULIA ELIZABETH DAGES PA-C
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (877) 693-6266
MICHAEL OTTE PA-C
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (714) 389-5700
PARTNERS URGENT CARE-GROSSMONT, INC.
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (619) 303-5500
LES ALLEN MERSHON PA-C
Physician Assistant (Medical)
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (619) 303-5500
PARTNERS URGENT CARE-GROSSMONT
Clinic/Center (Urgent Care)
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (714) 389-5700
DR. ARUDI L PRABHAKAR M.D.
Specialist
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (619) 303-5500
STEVEN M JAEGER M.D.
Emergency Medicine
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (619) 303-0550
DERRICK NICHOLAS DAMASO
Physician Assistant (Medical)
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
San Diego County (877) 693-6266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Kellogg's NPI number?

The NPI number for Alexandra Kellogg is 1477236727. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Alexandra Kellogg located?

Alexandra Kellogg practices at 6136 Lake Murray Blvd, La Mesa, CA 91942. The listed phone number is (877) 693-6266.

What is Alexandra Kellogg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Kellogg enrolled in Medicare?

Yes. Alexandra Kellogg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Kellogg was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.