Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kristene A Provo, PAC

Individual provider Medical Physician Assistant · NPI 1528002821

Kristene A Provo, PAC is a Medical Physician Assistant in Missoula, Montana. Works from 2 locations. Licensed in Montana.

Licensed in
MT
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2835 Fort Missoula Rd
Missoula, MT 59804-7408
Phone: (406) 721-5600
Fax: (406) 721-3907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1211 S Reserve St Ste 101, Missoula, MT 59801-3103 — (406) 327-3057

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 126 (MT)

Record details

NPI number1528002821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients31
Services billed 62 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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