Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurie Provost, MSNFNP-BC

Individual provider Nurse Practitioner · NPI 1134071863

Laurie Provost, MSNFNP-BC is a Nurse Practitioner in Palmer, Massachusetts. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Massachusetts, LLC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1001 Thorndike St
Palmer, MA 01069-1501
Phone: (413) 283-2545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 178 Upper Hampden Rd, Monson, MA 01057-9734 — (413) 575-4614

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN204295 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN204295 (MA)

Record details

NPI number1134071863
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNFNP-BC
Sole proprietorYes
NPI enumeratedFebruary 13, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of Massachusetts, Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Palmer