LAURIE PROVOST MSN FNP-BC - NPI 1134071863 - Nurse Practitioner in Palmer, MA

Q: What is Laurie Provost's NPI number?

The NPI number for Laurie Provost is 1134071863. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Q: What is Laurie Provost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Provost was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Laurie Provost Msn Fnp-bc NPPES

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

LAURIE PROVOST MSN FNP-BC (NPI 1134071863) is an individual family provider in Palmer, Massachusetts, licensed in Massachusetts (RN204295) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monson, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134071863

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURIE PROVOSTCredential: MSN FNP-BC

Location Address1001 THORNDIKE STPalmer, MA 01069-1501

Mailing Address1001 Thorndike StPalmer, MA 01069-1501 · (413) 283-2545

Phone(413) 283-2545

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 13, 2026

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1134071863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN204295

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN204295 (MA)

1001 THORNDIKE ST, Palmer, MA 01069

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Secondary Practice Location 1

Location 1178 Upper Hampden RdMonson, MA 01057-9734 · Phone (413) 575-4614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie Provost Msn Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779053699

PECOS Enrollment IDI20260601002164

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 01069 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.