Active NPI
Stefanie Porter, AGPCNP-BC
- Gerontology Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 19481
- Practice address
- 2400 Patterson St Ste 502
Nashville, TN 37203-6511 - Phone
- (615) 515-1900
- Fax
- (615) 292-4633
- NPI assigned
- Jan 26, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 19481 | TN | |
| Adult Health Nurse Practitioner | 363LA2200X | APN0000019481 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | 19481 | TN | Primary |
Addresses
Primary practice location
2400 Patterson St Ste 502
Nashville, TN 37203-6511
Mailing address
2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone (615) 515-1968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150414000383 | TN | Practitioner - Nurse Practitioner | 9931427440 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.52 of 100
- Quality
- 56.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000019481 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Heart LLC | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929
Organizations & group practices 1
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.
-
- Specialist
- Nashville, TN
- NPI 1245393057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1932599271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST STE 502",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372036511",
"telephone_number": "615-515-1968",
"fax_number": "615-292-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST STE 502",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372036511",
"telephone_number": "615-515-1900",
"fax_number": "615-292-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STEFANIE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "19481",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "APN0000019481",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "19481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.