PORTERSVILLE FAMILY PRACTICE PLLC
NPI 1164939138
Nurse Practitioner in Portersville, PA

Q: What is Portersville Family Practice PLLC's NPI number?

The NPI number for Portersville Family Practice PLLC is 1164939138. It was assigned to this organization in the NPPES registry on December 29, 2017.

Q: What is Portersville Family Practice PLLC's specialty?

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

Active since December 29, 2017CLIA 39D2147997 · Waiver

105 ADAMS LANE, PORTERSVILLE, PA 16051(724) 368-4118(724) 368-4117 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2022, Apr 11, 2018, Dec 29, 2017 (3 updates tracked since 2017).

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About Portersville Family Practice Pllc NPPES

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

PORTERSVILLE FAMILY PRACTICE PLLC (NPI 1164939138) is a healthcare organization registered as a nurse practitioner in Portersville, Pennsylvania and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Cory R Wilhite, Owner, as its authorized official.

NPPES Registry Identity

NPI1164939138

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePORTERSVILLE FAMILY PRACTICE PLLC

Location Address105 ADAMS LANEPortersville, PA 16051

Mailing Address120 Adams LnPortersville, PA 16051-2419 · (724) 368-4118 · Fax (724) 368-4117

Phone(724) 368-4118

Fax(724) 368-4117

Organization SubpartNo

Authorized OfficialCory R WilhiteOwner · (724) 368-4118

Enumeration DateDecember 29, 2017

Last NPPES UpdateMay 10, 20223 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1164939138 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

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 ListedFamily MedicineTaxonomy 207Q00000X

105 ADAMS LANE, Portersville, PA 16051

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2147997

Portersville Family Practice · Portersville, PA

Active · expires May 1, 2028

CLIA Number39D2147997

Laboratory TypePractitioner Other

Certificate Effective DateMay 2, 2026

Certificate Expiration DateMay 1, 2028

Laboratory DirectorDr. Michael E. Fiorina

Laboratory Phone(724) 368-4118

Laboratory LocationPortersville Family Practice120 Adams Lane, Portersville, PA 16051

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Portersville Family Practice PLLC's NPI number?

The NPI number for Portersville Family Practice PLLC is 1164939138. It was assigned to this organization in the NPPES registry on December 29, 2017.

Where is Portersville Family Practice PLLC located?

Portersville Family Practice PLLC is located at 105 Adams Lane, Portersville, PA 16051. The listed phone number is (724) 368-4118.

What is Portersville Family Practice PLLC's specialty?

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

Does Portersville Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2147997) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portersville Family Practice PLLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.