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ANDREA E PORTER APRN
NPI 1043504491
Nurse Practitioner in Louisville, KY

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
1900 BLUEGRASS AVE, SUITE 103, LOUISVILLE, KY 40215(502) 367-4500(502) 368-9820 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea E Porter Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA E PORTER APRN (NPI 1043504491) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3007063) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1043504491
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA E PORTERCredential: APRN
Location Address1900 BLUEGRASS AVE, SUITE 103Louisville, KY 40215-1144
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 367-4500 · Fax (502) 368-8139
Phone(502) 367-4500
Fax(502) 368-9820
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 2, 2011
Last NPPES UpdateMarch 15, 2018
✔ NPI 1043504491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3007063
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1900 BLUEGRASS AVE, Louisville, KY 40215
Open in Google Maps ↗

Secondary Practice Location 1

Location 11900 Bluegrass Ave, Suite 103Louisville, KY 40215-1144 · Phone (502) 367-4500 · Fax (502) 368-9820

Other Identifiers 2

Medicaid201039590IN
Medicaid7100178910KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea E Porter Aprn 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.

PECOS PAC ID7012188717
PECOS Enrollment IDI20110928000544
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
273 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHY ELIZABETH COLLIER APRN
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
ERIN EICHENBERGER APRN-C, FNP
Nurse Practitioner (Family)
1900 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
ARUN UMMAT M.D.
Internal Medicine (Interventional Cardiology)
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
LORI ANNE ROGERS ARNP
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
BLUEGRASS CARDIOLOGY ASSOCIATES PLLC
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
GRIFFIN KNEPP DNP, APRN, FNP-C
Nurse Practitioner (Family)
1900 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500
MR. LAL KUMAR TANWANI M.D.
Internal Medicine
1900 BLUEGRASS AVE, SUITE 108
LOUISVILLE, KY 40215
Jefferson County (502) 361-2524
SUNNY ABRAHAM JOSEPH M.D.
Internal Medicine (Cardiovascular Disease)
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Jefferson County (502) 367-4500

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 Andrea Porter's NPI number?

The NPI number for Andrea Porter is 1043504491. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Andrea Porter located?

Andrea Porter practices at 1900 Bluegrass Ave Suite 103, Louisville, KY 40215. The listed phone number is (502) 367-4500.

What is Andrea Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Porter enrolled in Medicare?

Yes. Andrea 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.

What insurance does Andrea Porter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Andrea Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Porter affiliated with any hospitals?

According to CMS data, Andrea Porter is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Andrea Porter was last updated on March 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.