JESSICA PORCELAN MD
NPI 1053869735
Psychiatry & Neurology - Psychiatry in Wpafb, OH

NPI Status: Active since September 12, 2016

Contact Information

4881 SUGAR MAPLE DR
WPAFB, OH
ZIP 45433
Phone: (937) 257-6877

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  • Individual
  • Female
  • Years of Experience 9
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JESSICA PORCELAN

This page provides the complete NPI Profile along with additional information for Jessica Porcelan, a provider established in Wpafb, Ohio with a medical specialization in Psychiatry & Neurology, focusing in psychiatry and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1053869735 assigned on September 2016. The practitioner's primary taxonomy code is 2084P0800X with license number 57.029289 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1053869735
Provider Name
JESSICA PORCELAN MD
Gender
Female
Entity Type
Individual
Location Address
4881 SUGAR MAPLE DR WPAFB, OH 45433
Location Phone
(937) 257-6877
Mailing Address
113 LIELMANIS AVE HURLBURT FIELD, FL 32544
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
Yes
Enumeration Date
09-12-2016
Last Update Date
05-23-2025
Code Navigator

A psychiatrist like Jessica Porcelan are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Secondary Locations

  • 2611 Wayne Ave
    Dayton, OH 45420
    (937) 367-2146

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
57.029289
License State
OH
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jessica Porcelan is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jessica Porcelan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638441025

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211201002949

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45433 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.65
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $41.66
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JESSICA PORCELAN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053869735, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 6 + 6 + 1 + 8 + 7 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053869735.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
4881 SUGAR MAPLE DR, ORTHOPEDICS AND PODIATRY
WRIGHT PATTERSON AFB, OH 45433
Dentist (General Practice)
4881 SUGAR MAPLE DR, 48DS
WPAFB, OH 45433
Pediatrics
4881 SUGAR MAPLE DR, 88 MDG/SGH2
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine (Infectious Disease)
4881 SUGAR MAPLE DR, 88 MDOS
WPAFB, OH 45433
Physical Therapist
4881 SUGAR MAPLE DR, 88MDG/SGCP
WRIGHT PATTERSON AFB, OH 45433
Social Worker
4881 SUGAR MAPLE DR, 5TH FLOOR
WPAFB, OH 45433
Military Hospital (Military General Acute Care Hospital)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Optometrist
4881 SUGAR MAPLE DR, 88MDG/SGPE
WRIGHT PATTERSON AFB, OH 45433
Emergency Medicine
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Dentist (Endodontics)
4881 SUGAR MAPLE DR, 88MDG/SGDD
WRIGHT PATTERSON AFB, OH 45433
Occupational Therapist
4881 SUGAR MAPLE DR, 88MDG/SGCPZ
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMI
WRIGHT PATTERSON AFB, OH 45433
Family Medicine
4881 SUGAR MAPLE DR, 88 MDG/SGHJ
WRIGHT PATTERSON AFB, OH 45433
Clinical Neuropsychologist
4881 SUGAR MAPLE DR, SGOHE
WRIGHT PATTERSON AFB, OH 45433
Dentist (General Practice)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Nurse Anesthetist, Certified Registered
4881 SUGAR MAPLE DR, 88MDG/SGCJ
WRIGHT PATTERSON AFB, OH 45433
Psychologist (Clinical)
4881 SUGAR MAPLE DR, 88MDG/SGOHC
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR, 88 MDOS/SGOMI-A
WPAFB, OH 45433
Anesthesiology
4881 SUGAR MAPLE DR, 88 MDG/SGCJ
WRIGHT PATTERSON AFB, OH 45433
Dentist (Periodontics)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053869735, enumerated as an "individual" on September 12, 2016.

The provider is located at 4881 SUGAR MAPLE DR WPAFB, OH 45433 and the phone number is (937) 257-6877.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: MedMutual. Please consult your insurance carrier or call the provider to verify.