Individual provider Active NPI

Lisa Kellogg, FNP-C

  • Interventional Pain Medicine Physician
  • Marion, OH
National Provider Identifier
1174164180
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
APRN.CNP.025322 Issued in OH
Practice address
1050 Delaware Ave
Marion, OH 43302-6416
Phone
(740) 383-7747
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X APRN.CNP.025322 OH Primary

Addresses

Primary practice location

1050 Delaware Ave
Marion, OH 43302-6416

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 544-6155

Other practice location 1

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8473

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lspoon107797@direct.ohiohealth.com OhioHealth Physician Group, Inc.
Direct Messaging Address lspoon107797@direct.ohiohealth.com Marion Area Physicians LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20191209002950 OH Practitioner - Nurse Practitioner 8123451911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Oct 6, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2025 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1174164180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-383-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 McKinley Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026399",
            "country_code": "US",
            "telephone_number": "740-383-8473",
            "fax_number": "740-383-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "APRN.CNP.025322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lspoon107797@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1000 McKinley Park Dr",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lspoon107797@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Marion Area Physicians LLC",
            "address_1": "1050 Delaware Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.