Amanda Renea Porter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107321 Issued in FL

Practice address

14555 Cortez Blvd
Brooksville, FL 34613-6003

Phone

(352) 556-4823

Fax

(352) 556-4824

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Coast Musculoskeletal Institute PLGroup PAC ID 0446319438, 7 clinicians

Hernando Healthcare Associates PAGroup PAC ID 6406844133, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: aporter301654@direct.tgh.org

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.

• Hernando Healthcare Associates PA

  • Chiropractor
  • Spring Hill, FL
  • NPI 1477753895
  Medicare reassignment Care Compare group
• West Coast Musculoskeletal Institute PL

  • Orthopaedic Surgery Physician
  • Brooksville, FL
  • NPI 1083870604
  Medicare reassignment Care Compare group
• Musculoskeletal Institute Chartered

  • Orthopaedic Surgery Physician
  • Temple Terrace, FL
  • NPI 1386639920
  Medicare reassignment
• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742
  NPD
• Musculoskeletal Institute Chartered

  • Orthopaedic Surgery Physician
  • Riverview, FL
  • NPI 1497377907
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Pinnacle Home Care of Spring Hill, LLC.

  • Home Health Agency
  • Spring Hill, FL
  • NPI 1467488999
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1104853704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136003",
            "telephone_number": "352-556-4823",
            "fax_number": "352-556-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "AMANDA",
        "middle_name": "RENEA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Address",
            "affiliation": "N",
            "address_1": "1324 Lakeland Hills Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338054543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Franklin Albright Poff III, D.O.
• Jacob Poliakoff
• Francis Polland
• Jonas Isaac Pologe, M.D.
• Ashley Pool
• Santosh Potdar, MD
• Carmen Alexandra Pounsberry, DO
• Sharon Ann Powers, A.R.N.P.
• PQ Pharmacy
• Sabair Pradhan, PHARM.D.

• Physician Assistant in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.