Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104789163 Individual Practitioner Female Practitioner

Dr. Kylee Provost , DNP

Nurse Practitioner • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Dr. Kylee Provost, DNP is a certified Nurse Practitioner practicing in Pueblo, CO. With approximately 1 years of clinical experience since completing medical education in 2025, Dr. Provost delivers high-quality medical care to the local community at 1600 N GRAND AVE.

Dr. Provost does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1600 N Grand Ave

Pueblo, CO 810032700

Telephone 7195462500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pueblo, CO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Pueblo, CO (1283 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Provost (1 Years) 1 Yrs
Pueblo Specialty Average (10.9 Years) 10.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO APN.1001449-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Laurel Wright , MD

Obstetrics & Gynecology

NPI 1003986720

Doctor of Medicine (M.D.)

Dr. Greg Bowman , MD

Internal Medicine - Cardiovascular Disease

NPI 1023079035

Doctor of Medicine (M.D.)

Dr. Gary Wofford , MD

Exclusive Provider Organization

NPI 1063500544

Doctor of Medicine (M.D.)

NPI 1073537239

Doctor of Medicine (M.D.)

Dr. Sally Berryman , MD

Obstetrics & Gynecology - Obstetrics

NPI 1124192141

Doctor of Medicine (M.D.)

Dr. Gregory Berryman , MD

Obstetrics & Gynecology

NPI 1124192885

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2025

Registered at 1600 N GRAND AVE, PUEBLO, CO 810032700 (Tel: 7195462500)

📍
Updated Business Mailing Address December 06, 2025

Registered at 1600 N GRAND AVE, PUEBLO, CO 810032700 (Tel: 7195462500)

👤
Provider Name / Credentials Updated December 06, 2025

Recorded as KYLEE PROVOST, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2025

Nurse Practitioner (License #APN.1001449-NP in CO)

🟢
Initial NPI Registration & Enumeration December 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104789163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2025
Last Update: December 06, 2025
Sole Proprietor: Yes

Mailing Address

1600 N Grand Ave

Pueblo, CO 810032700

Phone: 7195462500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.