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Breanna Elizabeth-Howe Kellogg

NPI 1912376856ActiveIndividual· Physician Assistant· Maywood, IL

Physician Assistant with Rush University Medical Group, practicing in Maywood, Illinois. Enrolled in Medicare as practitioner - physician assistant. Lists Rush University Medical Center as a hospital affiliation.

Overview

NPI1912376856
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 22, 2015
Last updated in NPPESMay 21, 2022
Certified by providerMay 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085006681IL
Physician Assistant363A00000X363A00000XMI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IL)

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Maywood

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