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KRISTY PROVENCE APRN, BSN, WCC
NPI 1346018686
Nurse Practitioner - Family in Gardner, KS

Active since December 15, 2023PECOS EnrolledAccepts Medicare Assignment
15845 GARDNER WEST RD, GARDNER, KS 66030(913) 207-5089(913) 273-1094 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, Apr 28, 2024, Dec 15, 2023 (3 updates tracked since 2023).

About Kristy Provence Aprn, Bsn, Wcc NPPES

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

KRISTY PROVENCE APRN, BSN, WCC (NPI 1346018686) is an individual family provider in Gardner, Kansas, licensed in Kansas (53-82741-021) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346018686
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTY PROVENCECredential: APRN, BSN, WCC
Location Address15845 GARDNER WEST RDGardner, KS 66030-9507
Mailing Address15845 Gardner West RdGardner, KS 66030-9507 · (913) 207-5089
Phone(913) 207-5089
Fax(913) 273-1094
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2023
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1346018686 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 KS · 53-82741-021
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 116337 (KS)
15845 GARDNER WEST RD, Gardner, KS 66030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristy Provence Aprn, Bsn, Wcc 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.

PECOS PAC ID143768069
PECOS Enrollment IDI20240809002899
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 Reassignment

Medicare enrollment records show Kristy Provence reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Houser Swierczek LLC
16 mi
Nurse Practitioner
11111 NALL AVE STE 103
Leawood, KS 66211
  • Reassigned Medicare billing, Kansas enrollment
  • 7 clinicians in this Medicare group
NPI 1568141976 (913) 322-8859

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
231 services105 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
123 services57 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
71 services70 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66030 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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 Kristy Provence's NPI number?

The NPI number for Kristy Provence is 1346018686. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Kristy Provence located?

Kristy Provence practices at 15845 Gardner West Rd, Gardner, KS 66030. The listed phone number is (913) 207-5089.

What is Kristy Provence's specialty?

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

Is Kristy Provence enrolled in Medicare?

Yes. Kristy Provence 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.

Which organization bills Medicare for Kristy Provence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Provence reassigns Medicare benefits to Houser Swierczek LLC (Leawood, KS). The 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 Kristy Provence'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 Kristy Provence was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.