MARISSA PROVOST
NPI 1942048475
Nurse Anesthetist, Certified Registered in Springfield, MA

Active since July 18, 2024Accepts Medicare Assignment
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 795-0754 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marissa Provost NPPES

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

MARISSA PROVOST (NPI 1942048475) is an individual nurse anesthetist, certified registered in Springfield, Massachusetts, licensed in Massachusetts (RN2301689) and active in the NPI registry since July 2024. She is affiliated with Baystate Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1942048475
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARISSA PROVOST
Location Address759 CHESTNUT STSpringfield, MA 01199-1001
Mailing Address14 Bailey RdEnfield, CT 06082-4805 · (413) 654-6153
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
NPI 1942048475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MA · RN2301689
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

759 CHESTNUT ST, Springfield, MA 01199

Other Names 1

Other Name (5)Marissa Provost Contreras

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

Marissa Provost 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 ID7113458589
PECOS Enrollment IDI20241009002803

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

Physician Assistant (Medical)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hospitalist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Pharmacist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hospitalist
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Psychiatry & Neurology (Psychiatry)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Emergency Medicine
759 CHESTNUT ST
SPRINGFIELD, MA 01199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942048475, enumerated as an "individual" on July 18, 2024.

The provider is located at 759 CHESTNUT ST SPRINGFIELD, MA 01199 and the phone number is (413) 795-0754.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Marissa Provost is affiliated with: BAYSTATE MEDICAL CENTER.