Tressa Kellogg, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

47204186 Issued in MI

Practice address

212 S Sullivan Ave
Fremont, MI 49412-1548

Phone

(231) 924-3300

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Health Partners Muskegon

  • Emergency Medicine Physician
  • Muskegon, MI
  • NPI 1235179029
  NPD (past)
• Newaygo County General Hospital Association

  • Hospitalist Physician
  • Fremont, MI
  • NPI 1750404927
  NPD (past)
• West Michigan Cardiology, PC

  • Cardiac Rehabilitation Registered Nurse
  • Grand Rapids, MI
  • NPI 1164296380
  NPD (past)
• West Michigan Cardiology, PC

  • Specialist
  • Grand Rapids, MI
  • NPI 1780770859

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1164734984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377314",
            "telephone_number": "269-223-5303",
            "fax_number": "269-223-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SULLIVAN AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121548",
            "telephone_number": "231-924-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "TRESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "47204186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "47204186",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B. Byland, O.D., P.C.
• Kelly Marie Jewell
• Douglas A. Johnson, M.D.
• Jordan Raymond Jones, MD
• Khenadi Jones, DC
• Tamela M Kelly, R.N.
• Kenneth B Weddell DDS PC
• Katlynn Suzanne Kern, NP
• Ashley Mae Klinger
• Michele Elisa Klukos, MS,PT

• Nurse Practitioner in Fremont, MI
• Providers in Fremont, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.