MICHAEL JOHN PROVOST AA
NPI 1013242619
Anesthesiologist Assistant in Gainesville, FL

Q: What is Michael Provost's NPI number?

The NPI number for Michael Provost is 1013242619. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Q: What is Michael Provost's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Provost was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2009Accepts Medicare Assignment

78.18/100

CMS Quality Rating

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0077(352) 265-6922 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael John Provost Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN PROVOST AA (NPI 1013242619) is an individual anesthesiologist assistant in Gainesville, Florida, licensed in Florida (AA41) and active in the NPI registry since October 2009. He is affiliated with Uf Health Shands Hospital and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013242619

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMICHAEL JOHN PROVOSTCredential: AA

Location Address1600 SW ARCHER RDGainesville, FL 32610-3003

Mailing AddressPo Box 918025Orlando, FL 32891-8025 · (352) 265-0077 · Fax (352) 265-6922

Phone(352) 265-0077

Fax(352) 265-6922

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 15, 2009

Last NPPES UpdateFebruary 15, 2010

✔ NPI 1013242619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA41

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Identifiers 1

Medicare PINCM993YFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael John Provost Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375682156

PECOS Enrollment IDI20091208000537

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for electroshock therapy 00104

Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.

25 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.54

Promoting Interoperability

100

Improvement Activities

Cost

54.74

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Provost's NPI number?

The NPI number for Michael Provost is 1013242619. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Michael Provost located?

Michael Provost practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0077.

What is Michael Provost's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Michael Provost enrolled in Medicare?

Yes. Michael Provost is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Provost affiliated with any hospitals?

According to CMS data, Michael Provost is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Michael Provost was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.