JANESA PORTER DNP, CPNP AC/PC
NPI 1114636776
Nurse Practitioner in Salt Lake City, UT

Q: What is Janesa Porter's NPI number?

The NPI number for Janesa Porter is 1114636776. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Q: What is Janesa Porter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janesa Porter was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2022PECOS Enrolled

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 487-0451 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2026, Nov 26, 2025, May 19, 2023 and 1 more (4 updates tracked since 2022).

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About Janesa Porter Dnp, Cpnp Ac/pc NPPES

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

JANESA PORTER DNP, CPNP AC/PC (NPI 1114636776) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (9796639-4405) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1114636776

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJANESA PORTERCredential: DNP, CPNP AC/PC

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 487-0451

Sole ProprietorNo

Enumeration DateNovember 22, 2022

Last NPPES UpdateJanuary 23, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1114636776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 9796639-4405

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.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP026647 (PA)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (215) 590-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janesa Porter Dnp, Cpnp Ac/pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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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.

KEEGAN MARIE RYAN PT, DPT

Physical Therapist