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KARI LYNN PROVOST P.A.
NPI 1376892521
Physician Assistant - Medical in Victorville, CA

Active since September 04, 2012PECOS Enrolled
100/100
CMS Quality Rating
12595 HESPERIA RD STE 101, VICTORVILLE, CA 92395(760) 881-3377(760) 881-3379 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kari Lynn Provost P.a. NPPES

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

KARI LYNN PROVOST P.A. (NPI 1376892521) is an individual medical provider in Victorville, California, licensed in California (PA22507) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376892521
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKARI LYNN PROVOSTCredential: P.A.
Location Address12595 HESPERIA RD STE 101Victorville, CA 92395
Mailing Address12595 Hesperia Rd Ste 101Victorville, CA 92395-5882 · (760) 881-3377 · Fax (760) 881-3379
Phone(760) 881-3377
Fax(760) 881-3379
Sole ProprietorNo
Enumeration DateSeptember 4, 2012
Last NPPES UpdateJuly 30, 2018
✔ NPI 1376892521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA22507
12595 HESPERIA RD STE 101, Victorville, CA 92395
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kari Lynn Provost P.a. 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost79.95

Other Providers at the Same Location NPPES 4

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

ARNAB BISWAS D.O.
Internal Medicine (Gastroenterology)
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
San Bernardino County (760) 881-3377
DR. THOMAS THONG HUU NGUYEN M.D.,
Internal Medicine (Gastroenterology)
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
San Bernardino County (760) 881-3377
MARK JOSEPH NAVARRO FNP
Nurse Practitioner (Family)
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
San Bernardino County (760) 881-3377
DIAMOND PATHOLOGY LLC
Pathology (Anatomic Pathology & Clinical Pathology)
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
San Bernardino County (760) 881-3377

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 Kari Provost's NPI number?

The NPI number for Kari Provost is 1376892521. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Kari Provost located?

Kari Provost practices at 12595 Hesperia Rd Ste 101, Victorville, CA 92395. The listed phone number is (760) 881-3377.

What is Kari Provost's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kari Provost enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kari Provost was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.