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KYLEE PROVOST DNP
NPI 1104789163
Nurse Practitioner in Pueblo, CO

Active since December 06, 2025PECOS Enrolled
1600 N GRAND AVE, PUEBLO, CO 81003(719) 546-2500 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kylee Provost Dnp NPPES

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

KYLEE PROVOST DNP (NPI 1104789163) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (APN.1001449-NP) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104789163
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKYLEE PROVOSTCredential: DNP
Location Address1600 N GRAND AVEPueblo, CO 81003-2700
Mailing Address1600 N Grand AvePueblo, CO 81003-2700 · (719) 546-2500
Phone(719) 546-2500
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
✔ NPI 1104789163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · APN.1001449-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1600 N GRAND AVE, Pueblo, CO 81003
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylee Provost Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315414638
PECOS Enrollment IDI20260424000192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. LAUREL ELIZABETH WRIGHT M.D.
Obstetrics & Gynecology
1600 N GRAND AVE, SUITE 400
PUEBLO, CO 81003
Pueblo County (719) 543-4000
GREG ALAN BOWMAN MD
Internal Medicine (Cardiovascular Disease)
1600 N GRAND AVE, SUITE 500
PUEBLO, CO 81003
Pueblo County (719) 545-0663
DIGESTIVE DISEASES SPECIALISTS OF COLORADO,LLC
Internal Medicine (Gastroenterology)
1600 N GRAND AVE, SUITE 440
PUEBLO, CO 81003
Pueblo County (719) 543-3500
GARY GENE WOFFORD M.D.
Exclusive Provider Organization
1600 N GRAND AVE, #230
PUEBLO, CO 81003
Pueblo County (719) 562-1000
ASHAKIRAN J. SUNKU, M.D., LLC
Psychiatry & Neurology (Neurology)
1600 N GRAND AVE, SUITE: 110
PUEBLO, CO 81003
Pueblo County (719) 546-9500
MICHAEL LEE KING M.D.
Surgery
1600 N GRAND AVE, STE 510
PUEBLO, CO 81003
Pueblo County (719) 566-3535
SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES
Internal Medicine
1600 N GRAND AVE
PUEBLO, CO 81003
Pueblo County (719) 542-3100
SALLY M BERRYMAN MD
Obstetrics & Gynecology (Obstetrics)
1600 N GRAND AVE, SUITE 400
PUEBLO, CO 81003
Pueblo County (719) 543-4000

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 Kylee Provost's NPI number?

The NPI number for Kylee Provost is 1104789163. It was assigned to this individual provider in the NPPES registry on December 6, 2025.

Where is Kylee Provost located?

Kylee Provost practices at 1600 N Grand Ave, Pueblo, CO 81003. The listed phone number is (719) 546-2500.

What is Kylee Provost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kylee Provost enrolled in Medicare?

Yes. Kylee Provost is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylee Provost was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.