MS. KELLY HELEN PROVENCHER (RN,MSN,BC) – Adult Health Nurse Practitioner, NPI 1790898252

MS. KELLY HELEN PROVENCHER (RN,MSN,BC) is a healthcare provider. based in West roxbury, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN,MSN,BC. They hold a License No. 234648 (MA). The NPI Number for MS. KELLY HELEN PROVENCHER (RN,MSN,BC) is 1790898252

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY HELEN PROVENCHER (RN,MSN,BC)
NPI
1790898252
Phone
(617) 323-7700
Address
1400 VFW PKWY
Enumeration Date
17 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7745526000
Graduation Year
2001 (25 years ago)
PAC ID
6901903772
Group Practice PAC ID
9638326671
Professional Enrollment ID
I20180430002125
Address ID
MA026015230HY27XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for MS. KELLY HELEN PROVENCHER (RN,MSN,BC)

  • Veterans of Foreign Wars Parkway, West Roxbury, Boston, Suffolk County, Massachusetts, 02132-3226, United States

    WEST ROXBURY, MA 021324927

    Phone: (617) 323-7700

    Type: Location

  • 8, Pierre Vernier Drive, Mashpee, Barnstable County, Massachusetts, 02644, United States

    MASHPEE, MA 02649

    Phone: (508) 360-4008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($46).

Total Amount

$81

General + Research + Ownership

Payments

3

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180430002125INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes293170$0
99239Hospital discharge day management, more than 30 minutes132129$0
99238Hospital discharge day management, 30 minutes or less1616$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 02132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638326671View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMA
Hospitalist, Cardiovascular Disease (Cardiology), Hospitalist, Internal MedicineNY
Diagnostic RadiologyNH
-NH
Diagnostic RadiologyOK
Physician AssistantMA
Internal MedicineMA
Radiation Oncology, Hematology/OncologyOH
Nephrology, Internal MedicineMA

Reviews

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Frequently asked questions

What is MS. KELLY HELEN PROVENCHER (RN,MSN,BC)'s NPI number?
MS. KELLY HELEN PROVENCHER (RN,MSN,BC)'s NPI is 1790898252 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MS. KELLY HELEN PROVENCHER (RN,MSN,BC)?
For scheduling context, MS. KELLY HELEN PROVENCHER (RN,MSN,BC) is shown as active in the registry.
What expertise is attributed to MS. KELLY HELEN PROVENCHER (RN,MSN,BC)?
MS. KELLY HELEN PROVENCHER (RN,MSN,BC)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MS. KELLY HELEN PROVENCHER (RN,MSN,BC) registered?
Use West Roxbury, Massachusetts as the headline location for MS. KELLY HELEN PROVENCHER (RN,MSN,BC) here.
When was this NPI issued?
Enumeration for MS. KELLY HELEN PROVENCHER (RN,MSN,BC) is noted as August 17, 2006 where the registry provides it.

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