Nicole Kellogg, CRNA - Medicare Nurse Anesthetist, Certified Registered in Sandwich, IL

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Nicole Kellogg, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sandwich, Illinois. Her current practice location is 1302 N Main St, Sandwich, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 936-4029.

Nicole Kellogg is licensed to practice in Illinois (license number 209.026203) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558070722.

Contact Information

Nicole Kellogg, CRNA
1302 N Main St,
Sandwich, IL 60548-2587
(630) 936-4029
Not Available

Map and Direction




Provider's Profile

Full NameNicole Kellogg
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1302 N Main St, Sandwich, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558070722
  • Provider Enumeration Date: 11/16/2022
  • Last Update Date: 11/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153786439
  • Enrollment ID: I20230421000284

Medical Identifiers

Medical identifiers for Nicole Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558070722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209.026203 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Kellogg allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Associates Of Illinois, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962512335
PECOS PAC ID: 3971498924
Enrollment ID: O20040218000526
Entity NameAnesthesia Associates, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952308223
PECOS PAC ID: 2961303425
Enrollment ID: O20040224000185
Entity NameOak Brook Anesthesiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881705937
PECOS PAC ID: 3870554298
Enrollment ID: O20041020000126
Entity NameStat Anesthesia Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992754089
PECOS PAC ID: 8123031473
Enrollment ID: O20060824000282
Entity NameNorth American Partners In Anesthesia Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699032524
PECOS PAC ID: 1052576519
Enrollment ID: O20120706000534
Entity NameIas Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265118723
PECOS PAC ID: 9638530991
Enrollment ID: O20230802002876

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Kellogg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Kellogg, CRNA
39w044 Patricia Ln,
Geneva, IL 60134-4813

Ph: (847) 525-0660		Nicole Kellogg, CRNA
1302 N Main St,
Sandwich, IL 60548-2587

Ph: (630) 936-4029

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sandwich, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.