Active NPI
Amanda Lynn Porter, MD
- Neurology Physician
- Kalkaska, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 90096
- Practice address
- 419 S Coral St
Kalkaska, MI 49646-2503 - Phone
- (231) 258-7777
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN29276 | FL | |
| Neurology Physician | 2084N0400X | 90096 | SC | Primary |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 4301512346 | MI | |
| Neurology Physician | 2084N0400X | TRN29276 | FL | |
| Neurology Physician | 2084N0400X | 4301512346 | MI | |
| Neurology Physician | 2084N0400X | ME147513 | FL |
Addresses
Primary practice location
419 S Coral St
Kalkaska, MI 49646-2503
Mailing address
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777
Other practice location 1
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other practice location 2
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-5035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426
4100 Park Forest Dr
Suite 200
Traverse City, MI 49684-7306
Phone (231) 600-7466
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
Hospital & facility affiliations
- Advisacare Solutions of Northern Michigan, LLC
- Kalkaska Memorial Health Center
- Munson Medical Center
- McLaren Northern Michigan
- Roper Hospital
- Charlevoix Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 74.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN29276 | FL | MD | Internal Medicine Physician |
| 90096 | SC | MD | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Neurology | Current | Accepting new patients |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Kalkaska Memorial Health Center | Internal Medicine | Current | Accepting new patients |
| Kalkaska Memorial Health Center | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Neurology | Current | Accepting new patients |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients |
Locations
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
560 W Mitchell St
Ste 340
Petoskey, MI 49770
Phone (231) 348-9710
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Kalkaska, MI
- NPI 1013183060
Internal Medicine
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Multi-Specialty Clinic/Center
- Traverse City, MI
- NPI 1629716964
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1790772317
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Skilled Nursing Facility
- Kalkaska, MI
- NPI 1164386652
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charlevoix, MI
- NPI 1659914810
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1639638729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S CORAL ST",
"city": "KALKASKA",
"state": "MI",
"postal_code": "496462503",
"telephone_number": "231-258-7777",
"fax_number": "231-258-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S CORAL ST",
"city": "KALKASKA",
"state": "MI",
"postal_code": "496462503",
"telephone_number": "231-258-7777"
}
],
"practiceLocations": [
{
"address_1": "11215 Metro Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-5035",
"fax_number": "843-402-5036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN29276",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "90096",
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "MI",
"license": "4301512346",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "TRN29276",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301512346",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME147513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalkaska, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.