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KATHLEEN MICHELLE PROVANZANA MD
NPI 1891736013
Family Medicine in Delaware, OH

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
6 LEXINGTON BLVD, DELAWARE, OH 43015(740) 363-3305(740) 383-7942 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1891736013
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN MICHELLE PROVANZANACredential: MD
Location Address6 LEXINGTON BLVDDelaware, OH 43015-1047
Mailing Address6 Lexington BlvdDelaware, OH 43015-1047 · (740) 363-9021 · Fax (740) 363-7962
Phone(740) 363-3305
Fax(740) 383-7942
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1891736013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35071152P
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6 LEXINGTON BLVD, Delaware, OH 43015
Open in Google Maps ↗

Secondary Practice Location 1

Location 1697 Thomas LnColumbus, OH 43214-3931 · Phone (614) 566-5414 · Fax (614) 533-0433

Other Identifiers 9

Other2025334Aetna
Other311098079Tax Id Phys And Non Phys
Other311098079Tax Id #
Other311098079240Cigna
Other0104351Uhc
Other080122321Travelers Medicare
Medicaid2074133OH
Other0855442Palmetto Medicare
Other353077Submitter No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID6507894862
PECOS Enrollment IDI20050728001034
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Provanzana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marion Area Physicians LLC
18 mi
Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group
NPI 1619230802 (740) 383-7000
Ohiohealth Corporation
19 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

GERALD L KREMER MD
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
BRENNAN CHRISTOPHER UHRIG DO
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
MOHAMED K. ABDO DO
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
DR. MATTHEW DANIEL FUERST M.D.
Internal Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
DAVID R SMITH MD
Ophthalmology
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-3230
COURTNEY ANN WALSH DO
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
KEVIN MARK HANEY M.D.
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-9021
DIANA LEE TAYLOR MD
Family Medicine
6 LEXINGTON BLVD
DELAWARE, OH 43015
Delaware County (740) 363-3309

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.

Which organizations bill Medicare for Kathleen Provanzana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Provanzana reassigns Medicare benefits to 2 organizations: Marion Area Physicians LLC (Marion, OH) and Ohiohealth Corporation (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Provanzana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Provanzana accept?

Health plans from 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.