Individual provider Active NPI

Deborah K Pora, CRNP

  • Adult Health Nurse Practitioner
  • Erie, PA
National Provider Identifier
1528494556
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP013004 Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507-1537
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Sep 23, 2013
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP013004 PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507-1537

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1537
Phone (814) 456-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20131118001622 PA Practitioner - Nurse Practitioner 3375779598 Reassigns benefits to 1 organization
I20240730001499 VA Practitioner - Nurse Practitioner 3375779598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013004PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cardiovascular Specialists CurrentSince Jun 5, 2024 Accepting new patients
Regional Health Services Inc CurrentSince Jan 14, 2019 Accepting new patients
Virginia Cardiovascular Specialists CurrentSince Jun 5, 2024 Accepting new patients
MCV Associated Physicians CurrentSince Sep 1, 2024 Accepting new patients

Locations

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

120 E 2nd St
Fl 4
Erie, PA 16507
Phone (814) 453-6751

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

5875 Bremo Rd
Ste 104
Richmond, VA 23226
Phone (804) 281-8182

7611 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 288-4827

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 2

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1528494556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORA",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.