KYLEE PROVOST DNP
NPI 1104789163
Nurse Practitioner in Pueblo, CO
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
Specialties & Licenses
(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.
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).
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.
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.
PUEBLO, CO 81003
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 with the weekly NPPES data releases published by CMS.
