MS. KELLY HELEN PROVENCHER RN,MSN,BC
NPI 1790898252
Nurse Practitioner - Adult Health in West Roxbury, MA

Q: What is Kelly Provencher's NPI number?

The NPI number for Kelly Provencher is 1790898252. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Kelly Provencher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Provencher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 17, 2006PECOS EnrolledAccepts Medicare Assignment

85.73/100

CMS Quality Rating

1400 VFW PKWY, WEST ROXBURY, MA 02132(617) 323-7700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Kelly Helen Provencher Rn,msn,bc NPPES

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

MS. KELLY HELEN PROVENCHER RN,MSN,BC (NPI 1790898252) is an individual adult health provider in West Roxbury, Massachusetts, licensed in Massachusetts (234648) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790898252

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. KELLY HELEN PROVENCHERCredential: RN,MSN,BC

Location Address1400 VFW PKWYWest Roxbury, MA 02132-4927

Mailing Address8 Pierre Vernier DriveMashpee, MA 02649 · (508) 360-4008

Phone(617) 323-7700

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790898252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MA · 234648

1400 VFW PKWY, West Roxbury, MA 02132

Open in Google Maps ↗

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

Ms. Kelly Helen Provencher Rn,msn,bc 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 ID6901903772

PECOS Enrollment IDI20180430002125

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

406 services222 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

193 services190 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.

25 services22 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02132 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

85.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.06

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

TERESA CZEPIEL OTR/L

Occupational Therapist