Individual provider Active NPI

Connie Porter, NP

  • Family Nurse Practitioner
  • Marion, OH
National Provider Identifier
1063967396
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019659 Issued in OH
Practice address
181 E Center St
Marion, OH 43302-3830
Phone
(567) 221-2568
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019659 OH Primary

Addresses

Primary practice location

181 E Center St
Marion, OH 43302-3830

Mailing address

181 E Center St
Marion, OH 43302-3830
Phone (567) 221-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161017002619 OH Practitioner - Nurse Practitioner 7416245824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as group
Quality
75
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC CurrentSince Oct 12, 2016 Accepting new patients
Porter Care Clinic, LLC CurrentSince Apr 1, 2025 Accepting new patients
Kidney Associates, Inc. CurrentSince Jul 15, 2024 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

661 S Trimble Rd
Mansfield, OH 44906
Phone (419) 774-0478

181 E Center St
Marion, OH 43302
Phone (567) 221-2568

165 W Center St
Marion, OH 43302
Phone (740) 692-4410

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

Interoperability endpoints

  • Direct secure messaging: connie.porter.1@16701.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1063967396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023830",
            "telephone_number": "567-221-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023830",
            "telephone_number": "567-221-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CONNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.