BRITTANY PROVENZANO (RN, NP) – Family Nurse Practitioner, NPI 1104341908
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for BRITTANY PROVENZANO (RN, NP)
80 Route 6 Ste 704-705
Baldwin Place, NY 10505
Phone: (475) 253-2599
Type: Location
55 Hazard Ave
Enfield, CT 06082
Phone: (475) 253-2599
Type: Location
31 Old Route 7
Brookfield, CT 06804
Phone: (475) 253-2599
Type: Location
6 WILLIAMSBURG DR
MONROE, CT 064682507
Phone: (203) 650-3168
Type: Mailing
795 BRIDGEPORT AVE
SUITE A
SHELTON, CT 06484
Phone: (860) 650-3848
Type: Location
1318, Monroe Turnpike, East Village, Monroe, Fairfield County, Connecticut, 06468, United States
MONROE, CT 064681402
Phone: (203) 650-3168
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171226001741 | I | Nurse Practitioner | CT | TBD |
| I20250310001585 | I | Nurse Practitioner | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 62 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 28 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 10505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | NY | |
| Physician Assistant | NJ | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Physician Assistant | CT |
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