KATHERINE ELIZABETH PROVAZNIK DO
NPI 1376002311
Psychiatry & Neurology - Psychiatry in Wethersfield, CT

Q: What is Katherine Provaznik's NPI number?

The NPI number for Katherine Provaznik is 1376002311. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Katherine Provaznik's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

1260 SILAS DEANE HWY STE 101, WETHERSFIELD, CT 06109(860) 545-7550 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Aug 4, 2025, Aug 2, 2024 and 5 more (8 updates tracked since 2019).

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About Katherine Elizabeth Provaznik Do NPPES

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

KATHERINE ELIZABETH PROVAZNIK DO (NPI 1376002311) is an individual psychiatry provider in Wethersfield, Connecticut, licensed in Connecticut (82532) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2019).

NPPES Registry Identity

NPI1376002311

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKATHERINE ELIZABETH PROVAZNIKCredential: DO

Location Address1260 SILAS DEANE HWY STE 101Wethersfield, CT 06109-4363

Mailing Address1260 Silas Deane Hwy Ste 101Wethersfield, CT 06109-4363 · (860) 545-7550

Phone(860) 545-7550

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateFebruary 4, 20268 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1376002311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CT · 82532✔ Licensed in WI · 2974

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 82532 (CT)

1260 SILAS DEANE HWY STE 101, Wethersfield, CT 06109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.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

Katherine Elizabeth Provaznik Do 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 ID2860735065

PECOS Enrollment IDI20240816002801, I20250811002316

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520004

Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

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

KELLEY LYNN GILROY APRN

Nurse Practitioner (Adult Health)