Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey J Kellogg, PA, MBA

Individual provider Physician Assistant · NPI 1215925011

Mr. Jeffrey J Kellogg, PA, MBA is a Physician Assistant in Lanesborough, Massachusetts. Qualified in 2010, 16 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Practice location Address checks out

20 Williamstown Rd
Lanesborough, MA 01237-9548
Phone: (413) 455-6800
Fax: (833) 948-3572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 N Main St, Leeds, MA 01053-9764 — (413) 584-4040

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1520 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 1520 (MA)

Record details

NPI number1215925011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , MBA
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount