KARI LYNN PROVOST P.A.
NPI 1376892521
Physician Assistant - Medical in Victorville, CA

NPI Status: Active since September 04, 2012

Contact Information

12595 HESPERIA RD STE 101
VICTORVILLE, CA
ZIP 92395
Phone: (760) 881-3377
Fax: (760) 881-3379

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About KARI PROVOST

This page provides the complete NPI Profile along with additional information for Kari Provost, a primary care provider established in Victorville, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1376892521 assigned on September 2012. The practitioner's primary taxonomy code is 363AM0700X with license number PA22507 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1376892521
Provider Name
KARI LYNN PROVOST P.A.
Gender
Female
Entity Type
Individual
Location Address
12595 HESPERIA RD STE 101 VICTORVILLE, CA 92395
Location Phone
(760) 881-3377
Location Fax
(760) 881-3379
Mailing Address
12595 HESPERIA RD STE 101 VICTORVILLE, CA 92395
Mailing Phone
(760) 881-3377
Mailing Fax
(760) 881-3379
Is Sole Proprietor?
No
Enumeration Date
09-04-2012
Last Update Date
07-30-2018
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A primary care provider (PCP) like Kari Provost sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA22507
License State
CA

Medicare Participation & PECOS Enrollment Status

Kari Provost is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

This service was performed 20 times for 20 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 71 times for 57 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 39 times for 39 patients

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376892521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146169454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 6 + 9 + 4 + 5 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1376892521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134216930 ARNAB BISWAS D.O.
Individual
Internal Medicine (Gastroenterology)12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
(760) 881-3377
1215126800DR. THOMAS THONG HUU NGUYEN M.D.,
Individual
Internal Medicine (Gastroenterology)12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
(760) 881-3377
1356992614 MARK JOSEPH NAVARRO FNP
Individual
Nurse Practitioner (Family)12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
(760) 881-3377
1558186650DIAMOND PATHOLOGY LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
(760) 881-3377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376892521, enumerated in the NPI registry as an "individual" on September 04, 2012

The provider is located at 12595 Hesperia Rd Ste 101 Victorville, Ca 92395 and the phone number is (760) 881-3377

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit, Established patient office or other outpatient visit, 20-29 minutes and New patient office or other outpatient visit, 30-44 minutes.

This NPI record was last updated on September 04, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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