MIKAELA MARIE KELLOGG PMHNP
NPI 1639002322
Nurse Practitioner - Psychiatric/Mental Health in Troy, NY

Active since June 04, 2026PECOS Enrolled
2215 BURDETT AVE, TROY, NY 12180(518) 833-6470 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 4, 2026, Jun 4, 2026 (2 updates tracked since 2026).

About Mikaela Marie Kellogg Pmhnp NPPES

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

MIKAELA MARIE KELLOGG PMHNP (NPI 1639002322) is an individual psychiatric/mental health provider in Troy, New York, licensed in New York (408975) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1639002322
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIKAELA MARIE KELLOGGCredential: PMHNP
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1639002322 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 NY · 408975
2215 BURDETT AVE, Troy, NY 12180

Secondary Practice Location 1

Location 1315 S Manning Blvd Ste 6408AAlbany, NY 12208-1707 · Phone (518) 525-1301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikaela Marie Kellogg Pmhnp 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 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180

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 Mikaela Kellogg's NPI number?

The NPI number for Mikaela Kellogg is 1639002322. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Mikaela Kellogg located?

Mikaela Kellogg practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 833-6470.

What is Mikaela Kellogg's specialty?

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

Is Mikaela Kellogg enrolled in Medicare?

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

What insurance does Mikaela Kellogg accept?

Health plans from Oscar Health list Mikaela Kellogg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikaela Kellogg was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.