Individual provider Active NPI

Austyn Jade Elizabeth Porter, FNP

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1073268199
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022005945 Issued in MO
Practice address
4600 Little Blue Pkwy
Independence, MO 64057-8302
Phone
(816) 795-7888
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 2022005945 MO Primary

Addresses

Primary practice location

4600 Little Blue Pkwy
Independence, MO 64057-8302

Mailing address

7003 N Kirkwood Ave
Kansas City, MO 64151-2898
Phone (417) 773-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220303000587 MO Practitioner - Nurse Practitioner 1557755873 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Open Wound Care Services LLCGroup PAC ID 3375999386, 7 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Kansas City, MO 64131
Phone (816) 931-3400

4600 Little Blue Pkwy
Independence, MO 64057-8302
Phone (816) 795-7888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022005945MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Blossom Health Care CurrentSince May 25, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Mar 6, 2022 Accepting new patients
Theoria Medical CurrentSince Jun 29, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 6, 2022 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Sep 20, 2025 Accepting new patients
Global Open Wound Care Services LLC Family CurrentSince Jul 27, 2025 Accepting new patients
Global Open Wound Care PLLC Family PastSince Apr 21, 2024 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

930 NE Duncan Rd
Blue Springs, MO 64014
Phone (816) 229-6677

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332

809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

Organizations & group practices 9

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1073268199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 N KIRKWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512898",
            "telephone_number": "417-773-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LITTLE BLUE PKWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578302",
            "telephone_number": "816-795-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "AUSTYN",
        "middle_name": "JADE ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022005945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.