JONATHON DOUGLAS PORTER D.O
NPI 1033461884
Psychiatry & Neurology - Psychiatry in Roseville, CA
About Jonathon Douglas Porter D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHON DOUGLAS PORTER D.O (NPI 1033461884) is an individual psychiatry provider in Roseville, California, licensed in California (20A12424) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathon Douglas Porter D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jonathon Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathon Porter's NPI number?
The NPI number for Jonathon Porter is 1033461884. It was assigned to this individual provider in the NPPES registry on October 3, 2012.
Where is Jonathon Porter located?
Jonathon Porter practices at 1420 Rocky Ridge Dr Ste 120, Roseville, CA 95661. The listed phone number is (855) 501-1004.
What is Jonathon Porter's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jonathon Porter enrolled in Medicare?
Yes. Jonathon Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jonathon Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Porter reassigns Medicare benefits to Mark David Levine, MD Roseville PC (Roseville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathon Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathon Porter was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonathon Douglas Porter, D.O · NPI 1033461884
Psychiatry physician in Roseville, California. Individual provider, active in the CMS NPPES registry since October 3, 2012.
## Identity
- **NPI:** 1033461884 (Entity type: Individual)
- **Enumerated:** October 3, 2012
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 20A12424 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 ROCKY RIDGE DR STE 120, Roseville, CA 95661-2834
- **Phone:** (855) 501-1004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mark David Levine, MD Roseville PC (NPI 1710103106, Roseville, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033461884) · Data from the CMS NPPES public registry.