AMY MICHELLE PROVENZANO CPNP-PC
NPI 1487178687
Nurse Practitioner - Pediatrics in Warren, NJ

Q: What is Amy Provenzano's NPI number?

The NPI number for Amy Provenzano is 1487178687. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Amy Provenzano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Provenzano was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 28, 2017

67A MOUNTAIN BOULEVARD EXT, 1ST FLOOR, UNIT B, WARREN, NJ 07059(858) 216-8837 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Oct 24, 2018, Jul 28, 2017 (3 updates tracked since 2017).

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About Amy Michelle Provenzano Cpnp-pc NPPES

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

AMY MICHELLE PROVENZANO CPNP-PC (NPI 1487178687) is an individual pediatrics provider in Warren, New Jersey, licensed in New Jersey (NUR-2023-000730) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1487178687

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAMY MICHELLE PROVENZANOCredential: CPNP-PC

Location Address67A MOUNTAIN BOULEVARD EXT, 1ST FLOOR, UNIT BWarren, NJ 07059

Mailing Address751 Orwell StLithopolis, OH 43136-9723

Phone(858) 216-8837

Sole ProprietorNo

Enumeration DateJuly 28, 2017

Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1487178687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in NJ · NUR-2023-000730✔ Licensed in OH · APRN.CNP.021402✔ Licensed in CA · 95022954

67A MOUNTAIN BOULEVARD EXT, Warren, NJ 07059

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Amy Provenzano's NPI number?

The NPI number for Amy Provenzano is 1487178687. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Amy Provenzano located?

Amy Provenzano practices at 67A Mountain Boulevard Ext 1st Floor, Unit B, Warren, NJ 07059. The listed phone number is (858) 216-8837.

What is Amy Provenzano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Amy Provenzano accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Provenzano was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.