Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lynne Kellogg, PA-C

Individual provider Physician Assistant · NPI 1609930262

Jennifer Lynne Kellogg, PA-C is a Physician Assistant in Wyoming, Michigan. Qualified in 2004, 22 years ago. Practices with Metropolitan Hospital, a 422-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
22
Licensed in
GA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9606
Phone: (616) 252-4410
Fax: (616) 252-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1700 Tree Ln, Snellville, GA 30078 — (678) 904-7210
  • 1700 Tree Ln, Snellville, GA 30078 — (678) 904-7210

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004257 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 6324 (GA)

Record details

NPI number1609930262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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