Individual provider Active NPI

Melissa Marie Kellogg, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1194513184
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407132 Issued in NY
Practice address
300 Crittenden Blvd
Rochester, NY 14642-0001
Phone
(585) 275-2100
NPI assigned
Apr 29, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407132 NY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 633725 NY

Addresses

Primary practice location

300 Crittenden Blvd
Rochester, NY 14642-0001

Mailing address

4612 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 443-2018

Other practice location 1

4612 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 443-2018

Other practice location 2

911 Stowell St
Elmira, NY 14901-1428
Phone (607) 737-5215

Other names 1

  • Melissa Marie Marshall/Papadopulos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251030004592 NY Practitioner - Nurse Practitioner 9133618986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casa-Trinity IncGroup PAC ID 8527448000, 10 clinicians

Practice addresses (Care Compare)

4612 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 991-5012

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
633725NYMDPsychiatric/Mental Health Registered Nurse
407132NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Department of Psychiatry Clinical Group Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
University of Rochester CurrentSince Sep 8, 2025 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Sep 8, 2025 Accepting new patients
Casa-Trinity, Inc. Past Accepting new patients
Casa-Trinity, Inc. PastSince Nov 13, 2022 Accepting new patients

Locations

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: mkellogg226383@direct.urmc.rochester.edu

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1194513184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197",
            "telephone_number": "585-443-2018",
            "fax_number": "585-991-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRITTENDEN BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4612 Millennium Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541197",
            "country_code": "US",
            "telephone_number": "585-443-2018",
            "fax_number": "585-991-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Stowell St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149011428",
            "country_code": "US",
            "telephone_number": "607-737-5215",
            "fax_number": "607-737-5219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407132",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "633725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MARSHALL/PAPADOPULOS",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.