Active NPI
Jessica Amelia Porter, M.D.
- Internal Medicine Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 126229
- Practice address
- 724 Cresta Cir
West Palm Beach, FL 33413-1082 - Phone
- (561) 602-8373
- NPI assigned
- Mar 26, 2013
- Last updated
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 126229 | FL | Primary |
Addresses
Primary practice location
724 Cresta Cir
West Palm Beach, FL 33413-1082
Mailing address
724 Cresta Cir
West Palm Beach, FL 33413-1082
Phone (561) 602-8373
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jporter152670@MHSDIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 126229 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Hospitalists Inc | Current | Accepting new patients | |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
Interoperability endpoints
- jporter152670@mhsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Hollywood, FL
- NPI 1285676957
-
dba Florida Acute Care Specialists (FLACS)
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Broward Health Medical Center
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
dba Memorial Hospital Miramar
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1083956163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 CRESTA CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334131082",
"telephone_number": "561-602-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 CRESTA CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334131082",
"telephone_number": "561-602-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JESSICA",
"middle_name": "AMELIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 126229",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jporter152670@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "1901 SW 172nd Ave",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330295592",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.