MR. GLEN ALAN PORTER FNP-C
NPI 1376828780
Nurse Practitioner - Family in Glendale, AZ

Q: What is Glen Porter's NPI number?

The NPI number for Glen Porter is 1376828780. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Q: What is Glen Porter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Porter was last updated on September 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2011PECOS Enrolled

6611 W BELL RD, (INSIDE FRYS), GLENDALE, AZ 85308(623) 334-2953 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Glen Alan Porter Fnp-c NPPES

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

MR. GLEN ALAN PORTER FNP-C (NPI 1376828780) is an individual family provider in Glendale, Arizona, licensed in Arizona (AP4205) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376828780

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. GLEN ALAN PORTERCredential: FNP-C

Location Address6611 W BELL RD, (INSIDE FRYS)Glendale, AZ 85308-3607

Mailing Address3420 E Carol Ann WayPhoenix, AZ 85032-3820 · (602) 769-2714

Phone(623) 334-2953

Sole ProprietorNo

Enumeration DateOctober 17, 2011

Last NPPES UpdateSeptember 26, 2014

✔ NPI 1376828780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP4205

6611 W BELL RD, Glendale, AZ 85308

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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 (PECOS)

Mr. Glen Alan Porter Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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