Individual provider Active NPI

Lori L Kellogg, CNM

  • Advanced Practice Midwife
  • Kalamazoo, MI
National Provider Identifier
1629185871
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704171421 Issued in MI
Practice address
1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650
Phone
(269) 226-5927
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704171421 MI Primary

Addresses

Primary practice location

1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650

Mailing address

5943 Stadium Dr
Suite 3
Kalamazoo, MI 49009-3016

Other practice location 1

601 E Chicago Rd
White Pigeon, MI 49099-9731
Phone (269) 483-7624

Other practice location 2

711 S Health Parkway Ste 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

Other identifiers 1

IdentifierTypeStateIssuer
1629185871MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000061 MI Practitioner - Certified Nurse Midwife (CNM) 4082665138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
N1200
Kalamazoo, MI 49007-5318
Phone (269) 341-7979

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704171421MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Aug 4, 2019 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Dec 1, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Dec 1, 2020 Accepting new patients
Three Rivers Health Past Accepting new patients

Locations

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

2854 S 11th St
Kalamazoo, MI 49009
Phone (269) 345-6197

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

Interoperability endpoints

  • Direct secure messaging: lkellogg97680@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1629185871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 250",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-226-5927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Chicago Rd",
            "address_purpose": "LOCATION",
            "city": "White Pigeon",
            "state": "MI",
            "postal_code": "490999731",
            "country_code": "US",
            "telephone_number": "269-483-7624",
            "fax_number": "269-483-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Health Parkway Ste 1",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938354",
            "country_code": "US",
            "telephone_number": "269-273-8557",
            "fax_number": "269-279-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704171421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629185871",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.