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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Janesa Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1497473375 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 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.

Where is Janesa Porter located?

Janesa Porter practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 487-0451.

What is Janesa Porter's specialty?

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

Is Janesa Porter enrolled in Medicare?

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

Which organization bills Medicare for Janesa Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janesa Porter reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). 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 Janesa Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janesa Porter accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Janesa 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.

When was this NPI record last updated?

The NPPES record for Janesa Porter was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.