KIRK PORTER P.A.-C.
NPI 1366801870
Physician Assistant - Medical in Jonesboro, AR

Active since February 12, 2016PECOS Enrolled
1107 E MATTHEWS AVE, SUITE 200, JONESBORO, AR 72401(870) 931-4442(870) 802-0205 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2016, Feb 12, 2016 (2 updates tracked since 2016).

About Kirk Porter P.a.-c. NPPES

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

KIRK PORTER P.A.-C. (NPI 1366801870) is an individual medical provider in Jonesboro, Arkansas, licensed in Arkansas (PT2016-011) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366801870
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKIRK PORTERCredential: P.A.-C.
Location Address1107 E MATTHEWS AVE, SUITE 200Jonesboro, AR 72401-4315
Mailing Address1107 E Matthews Ave, Suite 200Jonesboro, AR 72401-4315 · (870) 931-4442 · Fax (870) 802-0205
Fax(870) 802-0205
Sole ProprietorNo
Enumeration DateFebruary 12, 2016
Last NPPES UpdateNovember 9, 20162 updates tracked since enumeration
NPI 1366801870 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
License Licensed in AR · PT2016-011
1107 E MATTHEWS AVE, Jonesboro, AR 72401

Other Identifiers 2

Medicaid212903795AR
Medicare PIN478609ZTQWAR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kirk Porter P.a.-c. 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
235 services229 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
81 services80 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
47 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Other Providers at the Same Location NPPES 8

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

Dentist
1107 E MATTHEWS AVE, SUITE 101
JONESBORO, AR 72401
Psychiatry & Neurology (Neurology)
1107 E MATTHEWS AVE, SUITE 200
JONESBORO, AR 72401
Physical Therapist
1107 E MATTHEWS AVE, SUITE 100
JONESBORO, AR 72401
Clinic/Center (Physical Therapy)
1107 E MATTHEWS AVE, SUITE 100
JONESBORO, AR 72401
Psychiatry & Neurology (Neurology)
1107 E MATTHEWS AVE, SUITE 200
JONESBORO, AR 72401
Family Medicine
1107 E MATTHEWS AVE, SUITE 103
JONESBORO, AR 72401
Physical Therapist
1107 E MATTHEWS AVE, STE. 100
JONESBORO, AR 72401
Dentist
1107 E MATTHEWS AVE, SUITE 101
JONESBORO, AR 72401

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 Kirk Porter's NPI number?

The NPI number for Kirk Porter is 1366801870. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Kirk Porter located?

Kirk Porter practices at 1107 E Matthews Ave Suite 200, Jonesboro, AR 72401. The listed phone number is (870) 931-4442.

What is Kirk Porter's specialty?

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

Is Kirk Porter enrolled in Medicare?

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

What insurance does Kirk Porter accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kirk 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 Kirk Porter was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.