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

Marissa Provost

Individual provider Certified Registered Nurse Anesthetist · NPI 1942048475

Marissa Provost is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Massachusetts. Qualified in 2024, 2 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

759 Chestnut St
Springfield, MA 01199-1001
Phone: (413) 795-0754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2301689 (MA)

Record details

NPI number1942048475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address14 Bailey Rd, Enfield, CT 06082-4805

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield