Individual provider Active NPI

Michelle Porciuncula

  • Family Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1871030858
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005617 Issued in CA
Practice address
8345 Reseda Blvd Ste 209
Northridge, CA 91324-5941
Phone
(818) 433-0262
NPI assigned
Jan 27, 2017
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005617 CA Primary
General Practice Registered Nurse 163WG0000X 804875 CA

Addresses

Primary practice location

8345 Reseda Blvd Ste 209
Northridge, CA 91324-5941

Mailing address

8345 Reseda Blvd Ste 209
Northridge, CA 91324-5941
Phone (818) 433-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20170301001568 CA Practitioner - Nurse Practitioner 4183908601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8345 Reseda Blvd
Suite 209
Northridge, CA 91324-5941
Phone (747) 224-7994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roam Healthcare Inc - a Professional Nursing Corporation Family CurrentSince Feb 15, 2018 Accepting new patients
Human First Home Health Agency PastSince Mar 21, 2018 Accepting new patients
Sinuclear Oregon PC Past Accepting new patients
Rivera Sanatarium Inc Past Accepting new patients

Locations

8345 Reseda Blvd
Ste 209
Northridge, CA 91324
Phone (747) 224-7994

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 5

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1871030858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 209",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245941",
            "telephone_number": "818-433-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 209",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245941",
            "telephone_number": "818-433-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCIUNCULA",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005617",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "804875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.