MARC PROVENZANO
NPI 1285413922
Nurse Practitioner - Acute Care in Groveton, TX
About Marc Provenzano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC PROVENZANO (NPI 1285413922) is an individual acute care provider in Groveton, Texas, licensed in Texas (1119122) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Livingston, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Marc Provenzano 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Lukes Health Memorial Livingston
Acute Care Hospitals · Livingston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Marc Provenzano's NPI number?
The NPI number for Marc Provenzano is 1285413922. It was assigned to this individual provider in the NPPES registry on September 22, 2023.
Where is Marc Provenzano located?
Marc Provenzano practices at 493 N Main St, Groveton, TX 75845. The listed phone number is (281) 515-8349.
What is Marc Provenzano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Marc Provenzano enrolled in Medicare?
Yes. Marc Provenzano 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.
What insurance does Marc Provenzano accept?
Health plans from Blue Cross and Blue Shield of Texas list Marc Provenzano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Marc Provenzano affiliated with any hospitals?
According to CMS data, Marc Provenzano is affiliated with Chi St Lukes Health Memorial Livingston.
When was this NPI record last updated?
The NPPES record for Marc Provenzano was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Marc Provenzano · NPI 1285413922
Acute Care physician in Groveton, Texas. Individual provider, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1285413922 (Entity type: Individual)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1119122 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 493 N MAIN ST, Groveton, TX 75845-2498
- **Phone:** (281) 515-8349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1285413922) · Data from the CMS NPPES public registry.