Kristy Provence, APRN, BSN, WCC - Medicare Nurse Practitioner in Gardner, KS

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Kristy Provence, APRN, BSN, WCC is a medicare enrolled "Nurse Practitioner - Family" in Gardner, Kansas. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Houser Swierczek Llc and her current practice location is 15845 Gardner West Rd, Gardner, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 207-5089.

Kristy Provence is licensed to practice in Kansas (license number 53-82741-021) 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 1346018686.

Contact Information

Kristy Provence, APRN, BSN, WCC
15845 Gardner West Rd,
Gardner, KS 66030-9507
(913) 207-5089
(913) 273-1094

Map and Direction




Provider's Profile

Full NameKristy Provence
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location15845 Gardner West Rd, Gardner, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristy Provence graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1346018686
  • Provider Enumeration Date: 12/15/2023
  • Last Update Date: 04/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143768069
  • Enrollment ID: I20240809002899

Medical Identifiers

Medical identifiers for Kristy Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346018686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WW0000XRegistered Nurse - Wound Care 116337 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 53-82741-021 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Houser Swierczek Llc00426724955

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. Kristy Provence allows following entities to bill medicare on her behalf.
Entity NameHouser Swierczek Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568141976
PECOS PAC ID: 0042672495
Enrollment ID: O20230816002890
Entity NameHeartland Wound And Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013763382
PECOS PAC ID: 9234677154
Enrollment ID: O20240809002783

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. Kristy Provence 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 AddressPractice Location Address
Kristy Provence, APRN, BSN, WCC
15845 Gardner West Rd,
Gardner, KS 66030-9507

Ph: (913) 207-5089		Kristy Provence, APRN, BSN, WCC
15845 Gardner West Rd,
Gardner, KS 66030-9507

Ph: (913) 207-5089

Reviews and Comments


Nurse Practitioner Nurses in Gardner, KS

Kailey A Dressler, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 830 E Main St, Gardner, KS 66030
Phone: 913-856-4437    Fax: 913-856-4330
Stephanie R Radke-pence, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 907 E Lincoln Ln, Gardner, KS 66030
Phone: 913-856-1369    
Angela Lynn O'hara, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 830 E Main St, Gardner, KS 66030
Phone: 913-390-6666    
Vienna Mueni Munguti,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30067 W 184th Ter, Gardner, KS 66030
Phone: 816-878-8773    
Mrs. Lenzi R Kaub, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 29475 W 189th Ter, Gardner, KS 66030
Phone: 913-856-5577    
Hassan Bah,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31170 W 166th Ter, Gardner, KS 66030
Phone: 913-526-2744    
Amy N Higgins, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18320 S Center St, Gardner, KS 66030
Phone: 913-856-5577    Fax: 913-856-3907

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.