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NICOLE KELLOGG CRNA
NPI 1558070722
Nurse Anesthetist, Certified Registered in Sandwich, IL

Active since November 16, 2022PECOS EnrolledAccepts Medicare Assignment
1302 N MAIN ST, SANDWICH, IL 60548(630) 936-4029 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Kellogg Crna NPPES

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

NICOLE KELLOGG CRNA (NPI 1558070722) is an individual nurse anesthetist, certified registered in Sandwich, Illinois, licensed in Illinois (209.026203) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558070722
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICOLE KELLOGGCredential: CRNA
Location Address1302 N MAIN STSandwich, IL 60548-2587
Mailing Address39w044 Patricia LnGeneva, IL 60134-4813 · (847) 525-0660
Phone(630) 936-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
✔ NPI 1558070722 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 IL · 209.026203
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.
1302 N MAIN ST, Sandwich, IL 60548
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

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 ID1153786439
PECOS Enrollment IDI20230421000284
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Nicole Kellogg reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates, Ltd
22 mi
Pain Medicine
2540 HANFORD LN
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 101 clinicians in this Medicare group
NPI 1952308223 (815) 748-8993
Ias Illinois PC
22 mi
Anesthesiology
2525 KANEVILLE RD
Geneva, IL 60134
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1265118723 (630) 584-1400
Oak Brook Anesthesiologists, Ltd.
36 mi
Anesthesiology
2425 W 22ND ST, SUITE 101
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 63 clinicians in this Medicare group
NPI 1881705937 (630) 990-2212
American Anesthesiology Associates Of Illinois, S.C.
41 mi
Anesthesiology
19627 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
NPI 1962512335 (800) 243-3839
Stat Anesthesia Specialists, Ltd.
128 mi
Anesthesiology
1020 HIGH RD
Bremen, IN 46506
  • Reassigned Medicare billing, Illinois enrollment
  • 59 clinicians in this Medicare group
NPI 1992754089 (317) 697-1407
North American Partners In Anesthesia (illinois), LLC
137 mi
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (630) 990-9729

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
17 services17 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
12 services12 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60548 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

VALLEY WEST COMMUNITY HOSPITAL
General Acute Care Hospital (Critical Access)
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 786-8484
VALLEY WEST COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 786-8484
JAHANGIR TAI D.O.
Emergency Medicine
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 981-7141
DR. ANJUM S HUSSAINI MD
Hospitalist
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 786-8484
DR. JAMES JOSEPH FEDINEC M.D.
Emergency Medicine
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 786-3720
JUNG H LEE
Nurse Practitioner
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 981-7016
KATHRYN WASSON PT
Physical Therapist
1302 N MAIN ST
SANDWICH, IL 60548
Dekalb County (815) 786-3767

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 Nicole Kellogg's NPI number?

The NPI number for Nicole Kellogg is 1558070722. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Nicole Kellogg located?

Nicole Kellogg practices at 1302 N Main St, Sandwich, IL 60548. The listed phone number is (630) 936-4029.

What is Nicole Kellogg's specialty?

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

Is Nicole Kellogg enrolled in Medicare?

Yes. Nicole Kellogg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Kellogg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kellogg reassigns Medicare benefits to 6 organizations: Anesthesia Associates, Ltd (Aurora, IL), Ias Illinois PC (Geneva, IL), Oak Brook Anesthesiologists, Ltd. (Oak Brook, IL), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL), Stat Anesthesia Specialists, Ltd. (Bremen, IN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Kellogg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Kellogg was last updated on November 16, 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.