Individual provider Active NPI

Anastasia L Porter, MD

  • Ophthalmology Physician
  • Seattle, WA
National Provider Identifier
1922164607
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00038910 Issued in WA
Practice address
1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone
(206) 215-2020
Fax
(206) 215-2022
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00038910 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 600
Seattle, WA 98104-1340

Mailing address

1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone (206) 215-2020

Other practice location 1

215 Lilly Rd NE
Olympia, WA 98506
Phone (360) 456-4800

Other practice location 2

724 Columbia St NW Ste 100
Olympia, WA 98501-1291
Phone (360) 456-4800

Other identifiers 1

IdentifierTypeStateIssuer
1035476MedicaidWA

Other names 1

  • Stacy L Porter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000875 WA Practitioner - Ophthalmology 0345262952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates Northwest PLLCGroup PAC ID 2961397385, 10 clinicians
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020

1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350

155 NE 100TH St
Suite 110
Seattle, WA 98125-8007
Phone (206) 363-8855

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
85.07
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00038910WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates Northwest, PLLC Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology CurrentSince Apr 8, 2024 Accepting new patients
Grady M. Hughes Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients

Locations

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

1600 E Jefferson St
Ste 202
Seattle, WA 98122
Phone (206) 320-5686

1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350

Organizations & group practices 7

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1922164607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98506",
            "country_code": "US",
            "telephone_number": "360-456-4800",
            "fax_number": "360-456-4812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "724 Columbia St NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011291",
            "country_code": "US",
            "telephone_number": "360-456-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANASTASIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00038910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "PORTER",
            "middle_name": "L",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.