Beverly Provo, GNPC
NPI 1215096482 · Family Nurse Practitioner · Newark, NY
Beverly Provo, GNPC is a Family Nurse Practitioner provider in Newark, NY (NPI 1215096482).
Provider details
- NPI number
- 1215096482
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- GNPC
- Sex
- Female
- Sole proprietor
- No
- License
- F3041711 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2011-01-06
Frequently asked questions
- What is Beverly Provo's NPI number?
- Beverly Provo's National Provider Identifier (NPI) is 1215096482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Beverly Provo's specialty?
- Beverly Provo is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Beverly Provo located?
- Beverly Provo's practice location on file with NPPES is 1208 Driving Park Ave, Newark, NY 14513-1057.
- What is Beverly Provo's phone number?
- The practice phone number listed in the NPPES registry for Beverly Provo is (315) 359-2640.
- Is Beverly Provo's NPI active?
- Yes — Beverly Provo's NPI (1215096482) is active in the NPPES registry as of the last update on 2011-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.