Nicole L Porter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3124 Issued in CT

Practice address

6 Greenwich Office Park
Greenwich, CT 06831-5151

Phone

(203) 869-1145

NPI assigned

Sep 26, 2014

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

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

84.22 of 100Reported as group

Quality

82.55

Promoting interoperability

100

Improvement activities

40

Cost

64.86

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Orthopaedic & Neurosurgery Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Greenwich, CT
  • NPI 1033318720

  NY, Physician Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1437552064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-869-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Heaney Polito, LCSW
• Joshua C Pollack, M.D.
• Amanda Grier Poole, LCSW
• Collin Popp
• Jaclyn Suzanne Porco
• William S Potter, MD
• Courtney Powers, MS, OT
• Deborah Preminger-Fayer
• Hellen Previte
• Pride & Joy Counseling LLC

• Physician Assistant in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.