Individual provider Active NPI

Tiffany Etta Porter, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Clairsville, OH
National Provider Identifier
1386725703
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
06655 Issued in OH
Practice address
68377 Stewart Dr Ste 202
Saint Clairsville, OH 43950-1718
Phone
(740) 699-2747
NPI assigned
Oct 19, 2006
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 06655 OH Primary

Addresses

Primary practice location

68377 Stewart Dr Ste 202
Saint Clairsville, OH 43950-1718

Mailing address

90 N 4TH St
Martins Ferry, OH 43935-1648
Phone (740) 633-1100

Other identifiers 2

IdentifierTypeStateIssuer
2603432000MedicaidWV
H207804OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051216000226 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729009899 Reassigns benefits to 5 organizations
I20090611000772 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729009899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnesville Hospital Association, Inc.Group PAC ID 9335134592, shared by 3 NPIs, 16 clinicians

Practice addresses (Care Compare)

639 W Main St
Barnesville, OH 43713-1039
Phone (740) 425-3941

68 State Route 7
Bridgeport, OH 43912-1642
Phone (740) 676-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
06655OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2025 Accepting new patients
Harrison Community Hospital, Inc. CurrentSince Nov 12, 2025 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Precision Anesthesia Services, LLC CurrentSince Nov 1, 2013 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Digestive Health Complex,Inc CurrentSince Oct 1, 2015 Accepting new patients
Wheeling Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince May 10, 2020 Accepting new patients
Wheeling Hospital Ambulatory Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Wheeling Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 10, 2020 Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

90 N 4th St
Fl 2
Martins Ferry, OH 43935
Phone (740) 633-4127

103 Plaza Dr
Ste A
St Clairsvle, OH 43950
Phone (740) 310-6743

300 W Main St
St Clairsvle, OH 43950
Phone (740) 449-2196

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

109 Mount Wood Rd
#1
Wheeling, WV 26003

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1386725703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N 4TH ST",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351648",
            "telephone_number": "740-633-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68377 STEWART DR STE 202",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501718",
            "telephone_number": "740-699-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TIFFANY",
        "middle_name": "ETTA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "06655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2603432000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H207804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.