Nikki B Porter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200061 Issued in LA

Practice address

1500 Line Ave
Suite 100
Shreveport, LA 71101-4639

Phone

(318) 635-3052

Fax

(318) 635-3072

NPI assigned

Jul 13, 2006

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 LA

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musculoskeletal Institute of Louisiana LLCGroup PAC ID 0143127415, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
• Specialists Hospital Shreveport Hospital, Shreveport, LA, CCN 190278

Merit-based Incentive Payment System (MIPS)

Final score

89.38 of 100Reported as group

Quality

87.5

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nikki.porterpac.p1@direct.msil.nextgenshare.com

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.

• Musculoskeletal Institute of Louisiana, L.L.C.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1316957012

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Louisiana State University Health Sciences Center

  • Behavior Analyst
  • Shreveport, LA
  • NPI 1063000750
  NPD (past)
• Louisiana State University Health Sciences Center

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1144544529
  NPD (past)
• Louisiana State University Health Sciences Center

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1235174061
  NPD (past)
• Louisiana State University Health Sciences Center

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1316119167
  NPD (past)
• Louisiana State University Health Sciences Center

  • Physical Therapist
  • Shreveport, LA
  • NPI 1346609526
  NPD (past)
• Louisiana State University Health Sciences Center

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1366614117
  NPD (past)
• Louisiana State University Health Sciences Center

  • Psychologist
  • Shreveport, LA
  • NPI 1689901316
  NPD (past)
• Louisiana State University Health Sciences Center

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1871765982
  NPD (past)
• Louisiana State University Health Sciences Center

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1962674713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• Specialists Hospital Shreveport, LLC

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1912118134
  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1679598353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-635-3052",
            "fax_number": "318-635-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "NIKKI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Douglas Porta Jr.
• Andrew W Porter, DDS
• Beth R Porter, MSW LCSW
• Ellen Kathleen Porter, NP
• Maya Danielle Porter
• Jennefer T Porterfield, LCSW
• Nikki Porterie
• Mauricio Portillo
• Dheeraj Kumar Posa, MD
• Felicia Ardell Posey

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.