Laurie Provost, MSN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN204295 Issued in MA

Practice address

1001 Thorndike St
Palmer, MA 01069-1501

Phone

(413) 283-2545

NPI assigned

Feb 13, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minuteclinic Diagnostic of Massachusetts LLC

  • Family Nurse Practitioner
  • Medway, MA
  • NPI 1457470858
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1134071863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 THORNDIKE ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691501",
            "telephone_number": "413-283-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 THORNDIKE ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691501",
            "telephone_number": "413-283-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Upper Hampden Rd",
            "address_purpose": "LOCATION",
            "city": "Monson",
            "state": "MA",
            "postal_code": "010579734",
            "country_code": "US",
            "telephone_number": "413-575-4614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "LAURIE",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN204295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN204295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nicole Pouliot, OD
• Robin M Powell, LICSW
• Joanna M. Preibisz, M.D.
• Prescription Foot Balance, Inc.
• Asia Price, NP
• Pruushotam Puri, M.D.
• Quabbin Valley Eye Care Corporation
• John P Reheis, MD
• Jane Ricci
• Christyna Rioux

• Family Nurse Practitioner in Palmer, MA
• Providers in Palmer, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.