LISA KELLOGG (FNP-C) – Interventional Pain Medicine Physician, NPI 1174164180
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for LISA KELLOGG (FNP-C)
1050, Delaware Avenue, Marion, Marion Township, Marion County, Ohio, 43302, United States
MARION, OH 433026416
Phone: (740) 383-7747
Type: Location
1000 McKinley Park Dr
Marion, OH 433026399
Phone: (740) 383-8473
Fax: (740) 383-8695
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone: (614) 544-6155
Fax: (614) 544-6370
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($68).
Total Amount
$150
General + Research + Ownership
Payments
7
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191209002950 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 392 | 200 | $0 |
Insurance plans in this area (ZIP 43302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| O P H T H A L M O L O G Y | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| General Surgery | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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