Individual provider Active NPI

Jana Porteus, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1407091978
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4827 Issued in AZ
Practice address
1331 N 7TH St
Ste 375
Phoenix, AZ 85006-2754
Phone
(602) 307-0070
Fax
(602) 307-0080
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 161156 WI
Family Nurse Practitioner 363LF0000X 3644 WI
Family Nurse Practitioner 363LF0000X AP4827 AZ Primary

Addresses

Primary practice location

1331 N 7TH St
Ste 375
Phoenix, AZ 85006-2754

Mailing address

1331 N 7TH St
Ste 375
Phoenix, AZ 85006-2754
Phone (602) 307-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20130605000477 AZ Practitioner - Nurse Practitioner 8123183746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Center of Arizona, PLLCGroup PAC ID 3870487812, 14 clinicians

Practice addresses (Care Compare)

1331 N 7TH St
Suite 375
Phoenix, AZ 85006-2707
Phone (602) 307-0070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
161156WIMDRegistered Nurse
AP4827AZMDFamily Nurse Practitioner
3644WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Center of Arizona, PLLC CurrentSince Sep 3, 2013 Accepting new patients

Locations

1331 N 7th St
Ste 375
Phoenix, AZ 85006
Phone (602) 271-9064

9305 W Thomas Rd
Ste 270
Phoenix, AZ 85037

Organizations & group practices 1

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.

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1407091978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-307-0070",
            "fax_number": "602-307-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-307-0070",
            "fax_number": "602-307-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEUS",
        "first_name": "JANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "161156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.