Active NPI
Nicholas Lefens Porter, PA-C
- Physician Assistant
- Tucson, AZ
National Provider Identifier
1578005682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6576
- Practice address
- 2732 N Alvernon Way
Tucson, AZ 85712-1804 - Phone
- (520) 382-3330
- NPI assigned
- Nov 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6576 | AZ | Primary |
Addresses
Primary practice location
2732 N Alvernon Way
Tucson, AZ 85712-1804
Mailing address
2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone (520) 382-3330
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208002239 | AZ | Practitioner - Physician Assistant | 6406136407 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Specialists in Dermatology P L L C
Practice addresses (Care Compare)
2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone (520) 319-1100
630 N Alvernon Way
Suite 180
Tucson, AZ 85711-1895
Phone (520) 382-3330
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.68 of 100
- Quality
- 92.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1578005682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121804",
"telephone_number": "520-382-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121804",
"telephone_number": "520-382-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "NICHOLAS",
"middle_name": "LEFENS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-08",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.