Sunny Provence, FNP - Medicare Nurse Practitioner in Fort Liberty, NC

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Sunny Provence, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Liberty, North Carolina. Her current practice location is Womack Army Medical Center, Mcxc-pc-wrc, 2817 Rock Merritt Ave, Stop A, Fort Liberty, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 907-8500.

Sunny Provence is licensed to practice in Texas (license number AP125791) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710394226.

Contact Information

Sunny Provence, FNP
Womack Army Medical Center, Mcxc-pc-wrc, 2817 Rock Merritt Ave, Stop A,
Fort Liberty, NC 28310-5000
(910) 907-8500
(910) 907-8630

Map and Direction




Provider's Profile

Full NameSunny Provence
GenderFemale
SpecialityNurse Practitioner - Family
LocationWomack Army Medical Center, Mcxc-pc-wrc, Fort Liberty, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710394226
  • Provider Enumeration Date: 07/16/2014
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901027010
  • Enrollment ID: I20141014001627

Medical Identifiers

Medical identifiers for Sunny Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710394226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP125791 (Texas)Primary

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. Sunny 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
Sunny Provence, FNP
2817 Rock Merrit Ave Executive Medicine,
Fort Liberty, NC 28310-0001

Ph: (910) 907-7827		Sunny Provence, FNP
Womack Army Medical Center, Mcxc-pc-wrc, 2817 Rock Merritt Ave, Stop A,
Fort Liberty, NC 28310-5000

Ph: (910) 907-8500

Reviews and Comments


Nurse Practitioner Nurses in Fort Liberty, NC

Judith Anne Moon,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Mrs. Miranda Ammons Hilburn,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5-4257 Bastogne Drive, Fort Liberty, NC 28310
Phone: 910-907-9066    
Aemonn Barnes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-6069    
Beth R Gilchrist, ANP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Clark Health Clinic 5-4257 Bastogne St, Fort Liberty, NC 28310
Phone: 910-907-2575    Fax: 910-907-9606
Richkard Saint Louis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Clark Health Clinic Womack 5-4257 Bastonge St, Fort Liberty, NC 28310
Phone: 910-907-2575    Fax: 910-907-9606
Mr. Kelly Henry, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Amy Jeanne Jnah, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069

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.