KRISTIN RAE PORTER
NPI 1366053217
Nurse Practitioner - Obstetrics & Gynecology in Bowie, MD
About Kristin Rae Porter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN RAE PORTER (NPI 1366053217) is an individual obstetrics & gynecology provider in Bowie, Maryland, licensed in Maryland (R178637) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristin Rae Porter 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristin Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Capital Womens Care LLC
- 186 clinicians in this Medicare group
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 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWIE, MD 20716
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 Kristin Porter's NPI number?
The NPI number for Kristin Porter is 1366053217. It was assigned to this individual provider in the NPPES registry on August 13, 2020.
Where is Kristin Porter located?
Kristin Porter practices at 3060 Mitchellville Rd Ste 210, Bowie, MD 20716. The listed phone number is (410) 245-1563.
What is Kristin Porter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Kristin Porter enrolled in Medicare?
Yes. Kristin 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.
Which organization bills Medicare for Kristin Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Porter reassigns Medicare benefits to Capital Women's Care, L.L.C. (Fulton, MD). 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 Kristin Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristin Porter was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kristin Rae Porter · NPI 1366053217
Obstetrics & Gynecology physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since August 13, 2020.
## Identity
- **NPI:** 1366053217 (Entity type: Individual)
- **Enumerated:** August 13, 2020
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** R178637 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3060 MITCHELLVILLE RD STE 210, Bowie, MD 20716-3969
- **Phone:** (410) 245-1563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Capital Women's Care, L.L.C. (NPI 1679534069, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366053217) · Data from the CMS NPPES public registry.