WANDERFUL PORTER FNP-BC
NPI 1407833221
Nurse Practitioner - Primary Care in Tupelo, MS
About Wanderful Porter Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WANDERFUL PORTER FNP-BC (NPI 1407833221) is an individual primary care provider in Tupelo, Mississippi, licensed in Mississippi (R748355) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wanderful Porter Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Wanderful Porter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Sanders Clinic For Women P.A.
- 24 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 54 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Mississippi enrollment
- 202 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 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUPELO, MS 38801
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 Wanderful Porter's NPI number?
The NPI number for Wanderful Porter is 1407833221. It was assigned to this individual provider in the NPPES registry on December 22, 2005. The provider is also known as Wanda E Ford Fnp-Bc.
Where is Wanderful Porter located?
Wanderful Porter practices at 602 Brunson Dr, Tupelo, MS 38801. The listed phone number is (662) 680-3855.
What is Wanderful Porter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Wanderful Porter enrolled in Medicare?
Yes. Wanderful Porter is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Wanderful Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wanderful Porter reassigns Medicare benefits to 4 organizations: North Mississippi Medical Center, Inc. (Tupelo, MS), Sanders Clinic For Women PA (Tupelo, MS), Ms State Department Of Health (Jackson, MS) and Signify Health, LLC (Dallas, TX). Each 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 Wanderful Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wanderful Porter accept?
Health plans from Cigna Healthcare and Molina Healthcare list Wanderful 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 Wanderful Porter was last updated on October 30, 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.
# Wanderful Porter, FNP-BC · NPI 1407833221
Primary Care physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since December 22, 2005.
## Identity
- **NPI:** 1407833221 (Entity type: Individual)
- **Enumerated:** December 22, 2005
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R748355 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 602 BRUNSON DR, Tupelo, MS 38801-4947
- **Phone:** (662) 680-3855 · **Fax:** (662) 680-3372
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medical Center, Inc. (NPI 1164203360, Tupelo, MS); Sanders Clinic For Women PA (NPI 1962423046, Tupelo, MS); Ms State Department Of Health (NPI 1053489260, Jackson, MS); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2024
- **Other identifiers:** Medicaid 00124068 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1407833221) · Data from the CMS NPPES public registry.