KRISTEN KELLOGG PA
NPI 1740764943
Physician Assistant in Redmond, OR

Q: What is Kristen Kellogg's NPI number?

The NPI number for Kristen Kellogg is 1740764943. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Kristen Kellogg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Kellogg was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment

1253 NW CANAL BLVD, REDMOND, OR 97756(541) 548-8131(541) 526-6608 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2025, Jul 24, 2023, Sep 24, 2018 (3 updates tracked since 2018).

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About Kristen Kellogg Pa NPPES

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

KRISTEN KELLOGG PA (NPI 1740764943) is an individual physician assistant in Redmond, Oregon, licensed in Colorado (PA.0008907) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740764943

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTEN KELLOGGCredential: PA

Location Address1253 NW CANAL BLVDRedmond, OR 97756-1334

Mailing Address3340 Hemlock PlBoulder, CO 80304-2355 · (713) 502-8021

Phone(541) 548-8131

Fax(541) 526-6608

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 24, 2018

Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1740764943 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 CO · PA.0008907

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA.0008907 (CO)

1253 NW CANAL BLVD, Redmond, OR 97756

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Secondary Practice Location 1

Location 11460 G StSpringfield, OR 97477-4112 · Phone (713) 502-8021

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

Kristen Kellogg Pa 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 ID5799024832

PECOS Enrollment IDI20250327003032

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 97756 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 20

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

GLYNDA GAYE CRABTREE MD

Emergency Medicine