1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MAYROSE RUTH PORTER
NPI 1093560385
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 19, 2024PECOS Enrolled
715 S 8TH ST # 5, MINNEAPOLIS, MN 55404(612) 626-3111(612) 904-4650 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2024, Apr 19, 2024 (2 updates tracked since 2024).

About Mayrose Ruth Porter NPPES

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

MAYROSE RUTH PORTER (NPI 1093560385) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093560385
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAYROSE RUTH PORTER
Location Address715 S 8TH ST # 5Minneapolis, MN 55404-7530
Mailing Address715 S 8th St # 5Minneapolis, MN 55404-7530 · Fax (612) 273-7112
Phone(612) 626-3111
Fax(612) 904-4650
Sole ProprietorNo
Enumeration DateApril 19, 2024
Last NPPES UpdateJune 15, 20242 updates tracked since enumeration
NPPES CertifiedJune 15, 2024
✔ NPI 1093560385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
715 S 8TH ST # 5, Minneapolis, MN 55404
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayrose Ruth Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mayrose Porter's NPI number?

The NPI number for Mayrose Porter is 1093560385. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Mayrose Porter located?

Mayrose Porter practices at 715 S 8th St # 5, Minneapolis, MN 55404. The listed phone number is (612) 626-3111.

What is Mayrose Porter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mayrose Porter enrolled in Medicare?

Yes. Mayrose Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayrose Porter was last updated on June 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.