MRS. KIMBERLY K PROVOAST PA
NPI 1770899551
Physician Assistant in West Branch, MI

Active since August 31, 2010PECOS EnrolledAccepts Medicare Assignment
337 E HOUGHTON AVE, WEST BRANCH, MI 48661(989) 345-5240(989) 345-4513 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly K Provoast Pa NPPES

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

MRS. KIMBERLY K PROVOAST PA (NPI 1770899551) is an individual physician assistant in West Branch, Michigan, licensed in Michigan (5601005840) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1770899551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY K PROVOASTCredential: PA
Location Address337 E HOUGHTON AVEWest Branch, MI 48661-1127
Mailing Address337 E Houghton AveWest Branch, MI 48661-1127 · (989) 345-5240 · Fax (989) 345-4513
Fax(989) 345-4513
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 31, 2010
Last NPPES UpdateOctober 18, 2012
NPI 1770899551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005840
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
337 E HOUGHTON AVE, West Branch, MI 48661

Other Names 1

Former Name (1)Miss Kimberly K Rosebrugh Pa

Other Identifiers 2

Other5601005840MI · Mi License Number
Other1629110556MI · Group Npi

Accepted 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

Mrs. Kimberly K Provoast Pa 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 ID4981888476
PECOS Enrollment IDI20110407000241
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 3

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48661 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers59 claims165 services$6.01 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers12 claims12 services$2.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers32 claims50 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers12 claims12 services$39.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$110.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims33 services$39.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Community/Behavioral Health
337 E HOUGHTON AVE, CLINIC A, RM 5
WEST BRANCH, MI 48661
Counselor (Professional)
337 E HOUGHTON AVE, CLINIC A
WEST BRANCH, MI 48661
Counselor (Professional)
337 E HOUGHTON AVE, CLINIC A
WEST BRANCH, MI 48661
Family Medicine
337 E HOUGHTON AVE
WEST BRANCH, MI 48661
Internal Medicine
337 E HOUGHTON AVE, SUITE 3
WEST BRANCH, MI 48661
Family Medicine
337 E HOUGHTON AVE
WEST BRANCH, MI 48661
Nurse Practitioner
337 E HOUGHTON AVE
WEST BRANCH, MI 48661
Counselor (Professional)
337 E HOUGHTON AVE
WEST BRANCH, MI 48661

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 Kimberly Provoast's NPI number?

The NPI number for Kimberly Provoast is 1770899551. It was assigned to this individual provider in the NPPES registry on August 31, 2010. The provider is also known as Miss Kimberly K Rosebrugh PA.

Where is Kimberly Provoast located?

Kimberly Provoast practices at 337 E Houghton Ave, West Branch, MI 48661. The listed phone number is (989) 345-5240.

What is Kimberly Provoast's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Provoast enrolled in Medicare?

Yes. Kimberly Provoast 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 Kimberly Provoast accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kimberly Provoast 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 Kimberly Provoast affiliated with any hospitals?

According to CMS data, Kimberly Provoast is affiliated with Mclaren Bay Region, Mclaren Central Michigan and Mymichigan Medical Center West Branch.

When was this NPI record last updated?

The NPPES record for Kimberly Provoast was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.