STACI PORTER DNP
NPI 1508632175
Nurse Practitioner - Acute Care in Detroit, MI

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(313) 790-4029 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci Porter Dnp NPPES

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

STACI PORTER DNP (NPI 1508632175) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704296884NSA230HZ) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (2022).

NPPES Registry Identity

NPI1508632175
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTACI PORTERCredential: DNP
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address23320 Park Place DrSouthfield, MI 48033-7115 · (313) 790-4029
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2022
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 26, 2023
NPI 1508632175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704296884NSA230HZ
2799 W GRAND BLVD, Detroit, MI 48202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Staci Porter Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688017833
PECOS Enrollment IDI20240205003768
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Staci Porter's NPI number?

The NPI number for Staci Porter is 1508632175. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Staci Porter located?

Staci Porter practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 790-4029.

What is Staci Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Staci Porter enrolled in Medicare?

Yes. Staci Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Staci Porter accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Staci 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.

Is Staci Porter affiliated with any hospitals?

According to CMS data, Staci Porter is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Staci Porter was last updated on November 27, 2023. 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.