Martina D Porter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024184488 Issued in VA

Practice address

630 Peter Jefferson Pkwy Ste 140
Charlottesville, VA 22911-4660

Phone

(434) 218-5460

Fax

(855) 576-4983

NPI assigned

Jun 20, 2022

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

Other names 1

• Martina Diana Porter Other name

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Martha Jefferson Medical Group LLC

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1275720559
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Martha Jefferson Hospital

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1962133140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY STE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114660",
            "telephone_number": "434-218-5460",
            "fax_number": "855-576-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY STE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114660",
            "telephone_number": "434-218-5460",
            "fax_number": "855-576-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARTINA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "PORTER",
            "middle_name": "DIANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larissa Popp
• Sequoyah Kammie Portee
• Craig Anthony Portell, M.D.
• Krystyna Lee Portell, FNP
• Jonathan Terrell Porter
• Maryfrances R Porter, PHD
• Patricia Porterfield, M.S.W.
• Didier Portilla, M.D.
• Maria Portilla, MD
• Brent James Portz, D.O.

• Family Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.