Abbie M. Port, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

855 A Ave NE Ste 105
Cedar Rapids, IA 52402-5060

Phone

(319) 368-5992

Fax

(319) 369-8251

NPI assigned

Jul 14, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aport41289@direct.unitypoint.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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• Stanley Mathew, MD PLLC

  dba American Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • Cedar Rapids, IA
  • NPI 1720312465
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA

  Medicare reassignment
• Iowa Physicians Clinic Medical Foundation

  dba Unitypoint Clinic Family Medicine - Correctionville

  • Rural Health Clinic/Center
  • Correctionville, IA
  • NPI 1639061583

  Physician Assistant

  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1174752927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 105",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025060",
            "telephone_number": "319-368-5992",
            "fax_number": "319-369-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 105",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025060",
            "telephone_number": "319-368-5992",
            "fax_number": "319-369-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "ABBIE",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174752927",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00831041    CC6519",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anya Christine Polehna, DPT
• Melanie Polley, PHARMD
• Richard T Pope, MD
• Corey Chad Popelka
• Laura Ann Popelka, BCHIS
• Syndrea Porter
• Beverly Catherine Pospisil
• Mark Pospisil, MD
• Skyler Postel, TLMFT
• Mary Sophia Potempa

• Physician Assistant in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.