MRS. MELISSA MARIE BENNETT PROVOST FNP-BC
NPI 1245560242
Nurse Practitioner - Family in Mount Kisco, NY

Q: What is Melissa Provost's NPI number?

The NPI number for Melissa Provost is 1245560242. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Melissa Marie Bennett.

Q: What is Melissa 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 Melissa Provost was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 13, 2010PECOS Enrolled

30 W MAIN ST, MOUNT KISCO, NY 10549(914) 666-3272(914) 941-8626 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Melissa Marie Bennett Provost Fnp-bc NPPES

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

MRS. MELISSA MARIE BENNETT PROVOST FNP-BC (NPI 1245560242) is an individual family provider in Mount Kisco, New York, licensed in New York (336151) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ossining.

NPPES Registry Identity

NPI1245560242

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MELISSA MARIE BENNETT PROVOSTCredential: FNP-BC

Location Address30 W MAIN STMount Kisco, NY 10549-1910

Mailing Address165 Main StOssining, NY 10562-4702 · (914) 941-1263 · Fax (914) 941-8626

Phone(914) 666-3272

Fax(914) 941-8626

Sole ProprietorNo

Enumeration DateJanuary 13, 2010

Last NPPES UpdateSeptember 23, 2019

✔ NPI 1245560242 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 NY · 336151

Also ListedRegistered NurseTaxonomy 163W00000X · License 605446 (NY)

30 W MAIN ST, Mount Kisco, NY 10549

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Other Names 1

Former Name (1)Melissa Marie Bennett

Secondary Practice Location 1

Location 1165 Main StOssining, NY 10562-4702 · Phone (914) 941-1263 · Fax (914) 941-8626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa Marie Bennett Provost Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Melissa Provost reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Open Door Family Medical Center, Inc.

0.2 mi

Federally Qualified Health Center (FQHC)

30 W MAIN ST
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
149 clinicians in this Medicare group

NPI 1629237151 (914) 666-3272

Boston Children's Health Physicians, LLP

9.7 mi

Pediatrics

19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532

Reassigned Medicare billing, New York enrollment
511 clinicians in this Medicare group

NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 8

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

ANDREA K RITCHIN MD

Family Medicine

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 666-3272

DAREN WU MD

Family Medicine

30 W MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
MOUNT KISCO, NY 10549

Westchester County (914) 941-1263

MRS. LAUREN MARIE MARTINEZ FNP-C

Nurse Practitioner (Family)

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 632-2737

PATRICIA L DUNN

Nurse Practitioner (Family)

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 666-3272

MS. RACHEL LINDSEY GOMEZ P.A.

Physician Assistant (Medical)

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 632-2737

OPEN DOOR FAMILY MEDICAL CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 666-3272

SAMANTHA RAI MD

Family Medicine

30 W MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
MOUNT KISCO, NY 10549

Westchester County (914) 666-3272

CARMEN ANDREA TAMAYO GOMEZ M.D

Family Medicine

30 W MAIN ST
MOUNT KISCO, NY 10549

Westchester County (914) 666-3272

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 Melissa Provost's NPI number?

The NPI number for Melissa Provost is 1245560242. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Melissa Marie Bennett.

Where is Melissa Provost located?

Melissa Provost practices at 30 W Main St, Mount Kisco, NY 10549. The listed phone number is (914) 666-3272.

What is Melissa Provost's specialty?

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

Is Melissa Provost enrolled in Medicare?

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

Which organizations bill Medicare for Melissa Provost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Provost reassigns Medicare benefits to 2 organizations: Open Door Family Medical Center, Inc. (Mount Kisco, NY) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Provost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Provost was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.