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DAVID VAUGHN PORTER JR. PA-C
NPI 1154831642
Physician Assistant - Medical in Merriam, KS

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
7450 KESSLER ST STE 202, MERRIAM, KS 66204(913) 632-9480(913) 632-9499 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Oct 10, 2017 (2 updates tracked since 2017).

About David Vaughn Porter Jr. Pa-c NPPES

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

DAVID VAUGHN PORTER JR. PA-C (NPI 1154831642) is an individual medical provider in Merriam, Kansas, licensed in Kansas (15-03060) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154831642
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID VAUGHN PORTER JR.Credential: PA-C
Location Address7450 KESSLER ST STE 202Merriam, KS 66204-2553
Mailing Address7450 Kessler St Ste 202Merriam, KS 66204-2553 · (913) 632-9480 · Fax (913) 632-9499
Phone(913) 632-9480
Fax(913) 632-9499
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 10, 2017
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1154831642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in KS · 15-03060✔ Licensed in MO · 2017036354
7450 KESSLER ST STE 202, Merriam, KS 66204
Open in Google Maps ↗

Accepted Insurance

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

David Vaughn Porter Jr. Pa-c 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 ID5698033231
PECOS Enrollment IDI20251112002945
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.

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

REBECCA ANDREWS APRN FNP-C
Nurse Practitioner
7450 KESSLER ST STE 202
MERRIAM, KS 66204
Johnson County (913) 632-9480
MR. IAN MCCOMBS
Nurse Practitioner
7450 KESSLER ST STE 202
MERRIAM, KS 66204
Johnson County (913) 632-9480
DR. MATTHEW PIERSON M.D.
Neurological Surgery
7450 KESSLER ST STE 202
MERRIAM, KS 66204
Johnson County (913) 632-9480
DR. JAYSON NEIL M.D.
Neurological Surgery
7450 KESSLER ST STE 202
SHAWNEE MISSION, KS 66204
Johnson County (913) 632-9480
DR. DANIELLE MARIE SUTTON DNP-APRN
Nurse Practitioner (Adult Health)
7450 KESSLER ST STE 202
MERRIAM, KS 66204
Johnson County (913) 632-9480
DR. DARREN S LOVICK MD
Neurological Surgery
7450 KESSLER ST STE 202
SHAWNEE MISSION, KS 66204
Johnson County (913) 632-9480
VERONICA M GAVULA PA-C
Physician Assistant
7450 KESSLER ST STE 202
MERRIAM, KS 66204
Johnson County (913) 632-9480
MARK LEE PEMBERTON PAC
Physician Assistant (Surgical)
7450 KESSLER ST STE 202
SHAWNEE MISSION, KS 66204
Johnson County (913) 632-9480

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 David Porter's NPI number?

The NPI number for David Porter is 1154831642. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is David Porter located?

David Porter practices at 7450 Kessler St Ste 202, Merriam, KS 66204. The listed phone number is (913) 632-9480.

What is David Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Porter enrolled in Medicare?

Yes. David 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 David Porter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list David 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 David Porter affiliated with any hospitals?

According to CMS data, David Porter is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for David Porter was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.