WANDERFUL PORTER FNP-BC
NPI 1407833221
Nurse Practitioner - Primary Care in Tupelo, MS

Active since December 22, 2005PECOS Enrolled
602 BRUNSON DR, TUPELO, MS 38801(662) 680-3855(662) 680-3372 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Primary Care
  • Accepts Insurance
  • PECOS Enrolled

About WANDERFUL PORTER

This page provides the complete NPI Profile along with additional information for Wanderful Porter, a provider established in Tupelo, Mississippi with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1407833221 assigned on December 2005. The practitioner's primary taxonomy code is 363LP2300X with license number R748355 (MS). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1407833221 Verify this NPI
Provider Name
WANDERFUL PORTER FNP-BC
Other Name
WANDA E FORD FNP-BC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
602 BRUNSON DR TUPELO, MS 38801
Location Phone
(662) 680-3855
Location Fax
(662) 680-3372
Mailing Address
602 BRUNSON DR TUPELO, MS 38801
Mailing Phone
(662) 680-3855
Mailing Fax
(662) 680-3372
Is Sole Proprietor?
No
Enumeration Date
12-22-2005
Last Update Date
10-30-2024
Code Navigator

A nurse practitioner (NP) like Wanderful Porter is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R748355
License State
MS

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00124068MEDICAID (05)MS 

Medicare Participation & PECOS Enrollment Status

Wanderful Porter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for WANDERFUL PORTER FNP-BC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
602 BRUNSON DR
TUPELO, MS 38801
Nurse Practitioner (Family)
602 BRUNSON DR
TUPELO, MS 38801
Nurse Practitioner (Family)
602 BRUNSON DR
TUPELO, MS 38801
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
602 BRUNSON DR
TUPELO, MS 38801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407833221, enumerated as an "individual" on December 22, 2005.

The provider is located at 602 BRUNSON DR TUPELO, MS 38801 and the phone number is (662) 680-3855.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Molina. Please consult your insurance carrier or call the provider to verify.