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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. EMILY AMANDA PORZONDEK PMHNP
NPI 1437951217
Nurse Practitioner - Psychiatric/Mental Health in Port Huron, MI

Active since March 25, 2025PECOS Enrolled
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Dec 11, 2025, Mar 25, 2025 (3 updates tracked since 2025).

About Ms. Emily Amanda Porzondek Pmhnp NPPES

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

MS. EMILY AMANDA PORZONDEK PMHNP (NPI 1437951217) is an individual psychiatric/mental health provider in Port Huron, Michigan, licensed in Michigan (4704362685) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437951217
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. EMILY AMANDA PORZONDEKCredential: PMHNP
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address50734 Woodbury DrNew Baltimore, MI 48047-4391 · (586) 354-1711
Phone(810) 985-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2025
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1437951217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704362685
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704362685 (MI)
3111 ELECTRIC AVE, Port Huron, MI 48060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Emily Amanda Porzondek Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567932916
PECOS Enrollment IDI20260527000564
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.

Medicare Billing Reassignment

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

Revival Recovery Center Staffing LLC
63 mi
Family
208 W HIGHLAND RD STE 102
Highland, MI 48357
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1184398331 (833) 773-8482

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 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JACQUELINE RENEE NICHOLS
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
BRIAN FANION LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739

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 Emily Porzondek's NPI number?

The NPI number for Emily Porzondek is 1437951217. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Emily Porzondek located?

Emily Porzondek practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

What is Emily Porzondek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emily Porzondek enrolled in Medicare?

Yes. Emily Porzondek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Porzondek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Porzondek reassigns Medicare benefits to Revival Recovery Center Staffing LLC (Highland, MI). 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 Emily Porzondek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Porzondek accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Emily Porzondek 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 Emily Porzondek was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.