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

MS. Kelly Helen Provencher, RN, MSN, BC

Individual provider Adult Health Nurse Practitioner · NPI 1790898252

MS. Kelly Helen Provencher, RN, MSN, BC is a Nurse Practitioner in West Roxbury, Massachusetts. Qualified in 2001, 25 years ago. Practices with Physicians of Cape Cod Hospital, a 327-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
25
Licensed in
MA
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 323-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 234648 (MA)

Record details

NPI number1790898252
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , BC
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Physicians Of Cape Cod Hospital — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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