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CATHLEEN ANN PROVINS RN, ACNP-BC, PHD
NPI 1578892071
Nurse Practitioner - Acute Care in Atlanta, GA

Active since December 11, 2009PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE BLDG 324, ATLANTA, GA 30308(404) 686-1000 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2018, Mar 3, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Cathleen Ann Provins Rn, Acnp-bc, Phd NPPES

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

CATHLEEN ANN PROVINS RN, ACNP-BC, PHD (NPI 1578892071) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN098946) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1578892071
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCATHLEEN ANN PROVINSCredential: RN, ACNP-BC, PHD
Location Address550 PEACHTREE ST NE BLDG 324Atlanta, GA 30308
Mailing Address550 Peachtree Street -davis Fischer Building Office 324, Suite 350Atlanta, GA 30308 · (404) 686-1000
Phone(404) 686-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 11, 2009
Last NPPES UpdateJuly 25, 20183 updates tracked since enumeration
✔ NPI 1578892071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN098946
550 PEACHTREE ST NE BLDG 324, Atlanta, GA 30308
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Cathleen Ann Provins Rn, Acnp-bc, Phd 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 ID2365577822
PECOS Enrollment IDI20100323000312
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 5

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
247 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services16 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Cathleen Provins's NPI number?

The NPI number for Cathleen Provins is 1578892071. It was assigned to this individual provider in the NPPES registry on December 11, 2009.

Where is Cathleen Provins located?

Cathleen Provins practices at 550 Peachtree St NE Bldg 324, Atlanta, GA 30308. The listed phone number is (404) 686-1000.

What is Cathleen Provins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cathleen Provins enrolled in Medicare?

Yes. Cathleen Provins 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 Cathleen Provins accept?

Health plans from Oscar Insurance Company list Cathleen Provins 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 Cathleen Provins affiliated with any hospitals?

According to CMS data, Cathleen Provins is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Cathleen Provins was last updated on July 25, 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.