MISS KATLIN GRACE KELLOGG FNP-BC
NPI 1578299665
Nurse Practitioner - Primary Care in Eureka, CA

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
2200 TYDD ST, EUREKA, CA 95501(707) 441-1624 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Katlin Grace Kellogg Fnp-bc NPPES

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

MISS KATLIN GRACE KELLOGG FNP-BC (NPI 1578299665) is an individual primary care provider in Eureka, California, licensed in California (95020610) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578299665
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMISS KATLIN GRACE KELLOGGCredential: FNP-BC
Location Address2200 TYDD STEureka, CA 95501-1284
Mailing Address2969 Fickle Hill RdArcata, CA 95521-9064 · (707) 601-8707
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
NPI 1578299665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95020610
2200 TYDD ST, Eureka, CA 95501

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

Miss Katlin Grace Kellogg Fnp-bc 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 ID3678910304
PECOS Enrollment IDI20240318001928
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 95501 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Family Medicine
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Nurse Practitioner (Family)
2200 TYDD ST
EUREKA, CA 95501
Clinic/Center (Federally Qualified Health Center (FQHC))
2200 TYDD ST
EUREKA, CA 95501
Nurse Practitioner (Adult Health)
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501

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 Katlin Kellogg's NPI number?

The NPI number for Katlin Kellogg is 1578299665. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Katlin Kellogg located?

Katlin Kellogg practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 441-1624.

What is Katlin Kellogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Katlin Kellogg enrolled in Medicare?

Yes. Katlin 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.

When was this NPI record last updated?

The NPPES record for Katlin Kellogg was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.