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ANDREA PORTER RDN
NPI 1376114389
Dietitian, Registered in Idaho Falls, ID

Active since July 09, 2021
935 E LINCOLN RD, IDAHO FALLS, ID 83401(208) 552-0800 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, Jul 9, 2021 (2 updates tracked since 2021).

About Andrea Porter Rdn NPPES

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

ANDREA PORTER RDN (NPI 1376114389) is an individual dietitian, registered in Idaho Falls, Idaho, licensed in Idaho (D-934) and active in the NPI registry since July 2021. She maintains a secondary practice location in Blackfoot.

NPPES Registry Identity

NPI1376114389
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA PORTERCredential: RDN
Location Address935 E LINCOLN RDIdaho Falls, ID 83401-2119
Mailing Address1206 Danielle WayBlackfoot, ID 83221-5896 · (120) 822-6420
Phone(208) 552-0800
Sole ProprietorNo
Enumeration DateJuly 9, 2021
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1376114389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ID · D-934
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
935 E LINCOLN RD, Idaho Falls, ID 83401
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Secondary Practice Location 1

Location 198 Poplar StBlackfoot, ID 83221-1758 · Phone (208) 782-3993

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Porter Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrea Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bmh, Inc
2.2 mi
Family Medicine
1740 E 17TH ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 159 clinicians in this Medicare group
NPI 1215398672 (208) 535-3615

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

EASTERN IDAHO COMMUNITY ACTION PARTNERSHIP
Community/Behavioral Health
935 E LINCOLN RD
IDAHO FALLS, ID 83401
Bonneville County (208) 522-5391

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 Andrea Porter's NPI number?

The NPI number for Andrea Porter is 1376114389. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Andrea Porter located?

Andrea Porter practices at 935 E Lincoln Rd, Idaho Falls, ID 83401. The listed phone number is (208) 552-0800.

What is Andrea Porter's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Porter enrolled in Medicare?

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

Which organization bills Medicare for Andrea Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Porter reassigns Medicare benefits to Bmh, Inc (Idaho Falls, ID). 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 Andrea Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Porter accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Andrea 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 Andrea Porter was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.