JESSIE MARIE KELLOGG
NPI 1508579103
Nurse Practitioner - Psychiatric/Mental Health in Tomah, WI

Q: What is Jessie Kellogg's NPI number?

The NPI number for Jessie Kellogg is 1508579103. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Jessie Kellogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Kellogg was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 29, 2022PECOS Enrolled

500 E VETERANS ST, TOMAH, WI 54660(608) 372-3971 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jessie Marie Kellogg NPPES

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

JESSIE MARIE KELLOGG (NPI 1508579103) is an individual psychiatric/mental health provider in Tomah, Wisconsin, licensed in Iowa (G172333) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508579103

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSIE MARIE KELLOGG

Location Address500 E VETERANS STTomah, WI 54660-3105

Mailing Address412 Mccaul StTomah, WI 54660-1844 · (608) 521-0193

Phone(608) 372-3971

Sole ProprietorYes

Enumeration DateDecember 29, 2022

NPPES CertifiedNovember 13, 2022

✔ NPI 1508579103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IA · G172333

500 E VETERANS ST, Tomah, WI 54660

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Marie Kellogg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 54660 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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 20

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

MS. ANNE MARY WALLUS

Dietitian, Registered