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

Nicole Kellogg, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558070722

Nicole Kellogg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Sandwich, Illinois. Qualified in 2022, 4 years ago. Practices with Ias Illinois PC, a 81-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1302 N Main St
Sandwich, IL 60548-2587
Phone: (630) 936-4029
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209.026203 (IL)

Record details

NPI number1558070722
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address39w044 Patricia Ln, Geneva, IL 60134-4813

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ias Illinois Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount