KATHLEEN MICHELLE PROVANZANA MD
NPI 1891736013
Family Medicine in Delaware, OH
About Kathleen Michelle Provanzana Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MICHELLE PROVANZANA MD (NPI 1891736013) is an individual family medicine provider in Delaware, Ohio, licensed in Ohio (35071152P) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Ohio State University College Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 9
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
Kathleen Michelle Provanzana Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathleen Provanzana's NPI number?
The NPI number for Kathleen Provanzana is 1891736013. It was assigned to this individual provider in the NPPES registry on June 9, 2006.
Where is Kathleen Provanzana located?
Kathleen Provanzana practices at 6 Lexington Blvd, Delaware, OH 43015. The listed phone number is (740) 363-3305.
What is Kathleen Provanzana's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Provanzana enrolled in Medicare?
Yes. Kathleen Provanzana 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 Kathleen Provanzana accept?
Health plans from CareSource and MedMutual list Kathleen Provanzana 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 Kathleen Provanzana was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathleen Michelle Provanzana, MD · NPI 1891736013
Family Medicine physician in Delaware, Ohio. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1891736013 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35071152P (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 LEXINGTON BLVD, Delaware, OH 43015-1047
- **Phone:** (740) 363-3305 · **Fax:** (740) 383-7942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Ohio State University College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** February 20, 2024
- **Other identifiers:** Other 2025334; Other 311098079; Other 311098079; and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891736013) · Data from the CMS NPPES public registry.