Active NPI
Jennifer Marie Porto, PA-C
- Physician Assistant
- Overland Park, KS
National Provider Identifier
1104935303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2006022546
- Practice address
- 10600 Mastin St
Overland Park, KS 66212-5723 - Phone
- (913) 469-6447
- Fax
- (913) 338-1311
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2006022546 | MO | Primary |
| Physician Assistant | 363A00000X | T00749 | KS |
Addresses
Primary practice location
10600 Mastin St
Overland Park, KS 66212-5723
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
10600 Mastin St
Overland Park, KS 66212-5723
Hospital & facility affiliations
- Saint Luke'S South Hospital
- Overland Park Reg Med Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.84 of 100
- Quality
- 78.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T00749 | KS | MD | Physician Assistant |
| 2006022546 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center, P.a. | Past | Accepting new patients |
Interoperability endpoints
- jennifer.porto@hca2.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1760798540
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1104935303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-0503",
"fax_number": "913-469-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MASTIN ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-469-6447",
"fax_number": "913-338-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2006022546",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "T00749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.