PROVIDENT – Preferred Provider Organization, NPI 1316005473

PROVIDENT is a healthcare provider. based in Arnold, Missouri. specializing in Preferred Provider Organization. The organization holds a License No. 002589 (MO). The NPI Number for PROVIDENT is 1316005473

Main info

Organization
Name
PROVIDENT
NPI
1316005473
Phone
(314) 898-0102
Address
3675 W OUTER RD
Authorized Official
MRS. KRISTIN BULIN DIRECTOR OF COUNSELING DIVISION MSW
Enumeration Date
4 December 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for PROVIDENT

  • West Outer Road, Maxville, Arnold, Jefferson County, Missouri, 63010, United States

    203

    ARNOLD, MO 630105232

    Phone: (314) 898-0102

    Fax: (636) 296-3249

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63010)

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Reviews

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Frequently asked questions

Is there an official ID for PROVIDENT in U.S. healthcare records?
The official identifier for PROVIDENT is NPI 1316005473.
Would PROVIDENT appear as active to a payer?
You can treat PROVIDENT as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is PROVIDENT?
PROVIDENT is associated with Preferred Provider Organization in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PROVIDENT?
Travel planning: use Arnold, Missouri as the reference point for PROVIDENT, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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