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

MS. Phyllis Provost, APRN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1972656783

MS. Phyllis Provost, APRN is a Certified Clinical Nurse Specialist (Cns) in Hauppauge, New York. Qualified in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
51
Licensed in
NY
In the registry since
2007
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

750 Veterans Hwy
Hauppauge, NY 11788-2943
Phone: (631) 724-5522
Fax: (631) 724-5546
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 270668-1 (NY)

Record details

NPI number1972656783
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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