MS. PHYLLIS PROVOST APRN
NPI 1972656783
Registered Nurse - Psychiatric/Mental Health in Hauppauge, NY

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
750 VETERANS HWY, HAUPPAUGE, NY 11788(631) 724-5522(631) 724-5546 Get Directions Write a Review

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

About Ms. Phyllis Provost Aprn NPPES

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

MS. PHYLLIS PROVOST APRN (NPI 1972656783) is an individual psychiatric/mental health provider in Hauppauge, New York, licensed in New York (270668-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1972656783
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. PHYLLIS PROVOSTCredential: APRN
Location Address750 VETERANS HWYHauppauge, NY 11788-2943
Mailing Address77 Ridge RdSouthampton, NY 11968-3608 · (631) 724-5522 · Fax (631) 724-5546
Fax(631) 724-5546
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1972656783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in NY · 270668-1
750 VETERANS HWY, Hauppauge, NY 11788

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

Ms. Phyllis Provost Aprn 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 ID5496888794
PECOS Enrollment IDI20100807000029
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

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
149 services11 patients

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
750 VETERANS HWY
HAUPPAUGE, NY 11788
Psychologist
750 VETERANS HWY
HAUPPAUGE, NY 11788

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 Phyllis Provost's NPI number?

The NPI number for Phyllis Provost is 1972656783. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Phyllis Provost located?

Phyllis Provost practices at 750 Veterans Hwy, Hauppauge, NY 11788. The listed phone number is (631) 724-5522.

What is Phyllis Provost's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Phyllis Provost enrolled in Medicare?

Yes. Phyllis Provost 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 Phyllis Provost accept?

Health plans from Providence Health Plan list Phyllis Provost 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 Phyllis Provost 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.