Kellsey Mary Provos, DNP, FNP-BC in Ladysmith, WI

Kellsey Mary Provos, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ladysmith, Wisconsin. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mchs Hospitals Inc and her current practice location is 1200 Port Arthur Rd, Ladysmith, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 532-5561.

Kellsey Mary Provos is licensed to practice in Wisconsin (license number 10426) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811584147.

Contact Information

	Kellsey Mary Provos, DNP, FNP-BC
	1200 Port Arthur Rd, Ladysmith, WI 54848-1137
	(715) 532-5561
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellsey Mary Provos
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1200 Port Arthur Rd, Ladysmith, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellsey Mary Provos graduated from nursing school in 2020

NPI Data:

NPI Number: 1811584147
Provider Enumeration Date: 12/21/2020
Last Update Date: 10/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0840605036
Enrollment ID: I20210222000956

Medical Identifiers

Medical identifiers for Kellsey Mary Provos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811584147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10426 (Wisconsin)	Primary
207Q00000X	Family Medicine	10426 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshfield Medical Center - Ladysmith	Ladysmith, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mchs Hospitals Inc	5698071173	1045

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellsey Mary Provos allows following entities to bill medicare on her behalf.

Entity Name	Marshfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590

Entity Name	Mchs Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096

Entity Name	Mchs Hospitals Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellsey Mary Provos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kellsey Mary Provos, DNP, FNP-BC 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511	Kellsey Mary Provos, DNP, FNP-BC 1200 Port Arthur Rd, Ladysmith, WI 54848-1137 Ph: (715) 532-5561

Reviews and Comments

Nurse Practitioner Nurses in Ladysmith, WI

Jessica Lynn Takach, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300
Becky Jean Komro, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300
Brita Lynn Bush, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 Fax: 715-532-2489
Amber Rene Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2358
Stephanie Shane Croft, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561
Ernest L Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-5561
Amanda Michelle Crabb, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Lake Ave W, Ladysmith, WI 54848 Phone: 715-532-0203

Kellsey Mary Provos, DNP, FNP-BC - Medicare Nurse Practitioner in Ladysmith, WI