Ms Lisa Nicole Kellogg, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shreveport, LA

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Ms Lisa Nicole Kellogg, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Health Shreveport, Llc and her current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 675-5000.

Ms Lisa Nicole Kellogg is licensed to practice in Louisiana (license number AP07151) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013258896.

Contact Information

Ms Lisa Nicole Kellogg, CRNA
1541 Kings Hwy,
Shreveport, LA 71103-4228
(318) 675-5000
Not Available

Map and Direction




Provider's Profile

Full NameMs Lisa Nicole Kellogg
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Lisa Nicole Kellogg graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1013258896
  • Provider Enumeration Date: 03/04/2013
  • Last Update Date: 09/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8224276548
  • Enrollment ID: I20130528000726

Medical Identifiers

Medical identifiers for Ms Lisa Nicole Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013258896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP07151 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ochsner Lsu Health ShreveportShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Health Shreveport, Llc741620719650

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. Ms Lisa Nicole Kellogg allows following entities to bill medicare on her behalf.
Entity NameWillis Knighton Medical Center Inc Crna Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174546097
PECOS PAC ID: 1759358674
Enrollment ID: O20040910001124
Entity NameBrfhh Shreveport Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912909912
PECOS PAC ID: 0345475836
Enrollment ID: O20150519000353
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307
Entity NameUniversity Health Shreveport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619443611
PECOS PAC ID: 7416207196
Enrollment ID: O20181109000875

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. Ms Lisa 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
Ms Lisa Nicole Kellogg, CRNA
9329 Castlebrook Dr,
Shreveport, LA 71129-4807

Ph: (318) 458-9568		Ms Lisa Nicole Kellogg, CRNA
1541 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (318) 675-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

Billy B Miller Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118
Phone: 318-212-5000    
Kurvis Antione Davis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 367 Carrollton Ave, Shreveport, LA 71105
Phone: 318-573-0604    
Brian House,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    
Benjamin R. Wisenbaker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    Fax: 318-629-4833
Michael Liles,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-5000    
Kerri Annette Mullone,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    

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.