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JOANNA STEPHANIE PORTILLO
NPI 1184473696
Nurse Practitioner - Family in Boonsboro, MD

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
9 SAINT PAUL ST STE 3, BOONSBORO, MD 21713(301) 432-6897 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, May 16, 2024 (2 updates tracked since 2024).

About Joanna Stephanie Portillo NPPES

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

JOANNA STEPHANIE PORTILLO (NPI 1184473696) is an individual family provider in Boonsboro, Maryland, licensed in Maryland (R233531) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184473696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOANNA STEPHANIE PORTILLO
Location Address9 SAINT PAUL ST STE 3Boonsboro, MD 21713-1334
Mailing Address9 Saint Paul St Ste 3Boonsboro, MD 21713-1334
Phone(301) 432-6897
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 16, 2024
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1184473696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R233531
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License R233531 (MD)
9 SAINT PAUL ST STE 3, Boonsboro, MD 21713
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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

Joanna Stephanie Portillo 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 ID5395277644
PECOS Enrollment IDI20241011002382
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.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21713 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 6

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

PRIVIA MEDICAL GROUP, LLC
Family Medicine
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897
BRIANNA SIMMONS
Social Worker
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897
MARIA TERESA ELIZALDE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897
MS. MELISSA MARIE LEPLATT CRNP
Nurse Practitioner (Family)
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897
SOUTH MOUNTAIN COMMUNITY HEALTH LLC
Nurse Practitioner (Family)
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897
KELLY ANN WATSON HUFFER CRNP
Nurse Practitioner (Primary Care)
9 SAINT PAUL ST STE 3
BOONSBORO, MD 21713
Washington County (301) 432-6897

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 Joanna Portillo's NPI number?

The NPI number for Joanna Portillo is 1184473696. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Joanna Portillo located?

Joanna Portillo practices at 9 Saint Paul St Ste 3, Boonsboro, MD 21713. The listed phone number is (301) 432-6897.

What is Joanna Portillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joanna Portillo enrolled in Medicare?

Yes. Joanna Portillo 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.

Is Joanna Portillo affiliated with any hospitals?

According to CMS data, Joanna Portillo is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Joanna Portillo was last updated on July 22, 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.