Jordan Rochelle Poruban

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP023570 Issued in PA

Practice address

223 Lee St
Portage, PA 15946-1114

Phone

(814) 418-7399

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

Yes

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 PA

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Windber Hospital, Inc.

  • Surgery Physician
  • Windber, PA
  • NPI 1376543942
  Medicare reassignment Care Compare group NPD
• Upmc Altoona Regional Health Services, Inc

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment NPD
• Vantage Physical Therapy & Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1487693313
  Care Compare group
• Upmc Altoona Regional Health Services, Inc

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1639158488
  NPD
• Windber Hospital, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Windber, PA
  • NPI 1235778135
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1750965034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 LEE ST",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461114",
            "telephone_number": "814-418-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LEE ST",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461114",
            "telephone_number": "814-418-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORUBAN",
        "first_name": "JORDAN",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Medical PA LLC
• Portage Area Ambulance Association
• Portage Area School District
• Portage Chiropractic, P.C.
• Portage Podiatry
• Kayla Marie Radcliffe, PTA
• Mark J Ratchford, DO
• Deborah Ann Rauf, PT
• Lisa A Ritchey, RN
• Rite Aid of Pennsylvania LLC

• Nurse Practitioner in Portage, PA
• Providers in Portage, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.