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MS. POLLY ANN PORTER PA-C, ATC
NPI 1568566503
Physician Assistant - Surgical in Purcellville, VA

Active since September 11, 2006PECOS Enrolled
35731 DUNTHORPE LN, PURCELLVILLE, VA 20132(703) 395-3885 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017 (2 updates tracked since 2017).

About Ms. Polly Ann Porter Pa-c, Atc NPPES

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

MS. POLLY ANN PORTER PA-C, ATC (NPI 1568566503) is an individual surgical provider in Purcellville, Virginia, licensed in Virginia (0110001565) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568566503
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. POLLY ANN PORTERCredential: PA-C, ATC
Location Address35731 DUNTHORPE LNPurcellville, VA 20132-5225
Mailing Address35731 Dunthorpe LnPurcellville, VA 20132-5225 · (703) 395-3885
Phone(703) 395-3885
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1568566503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in VA · 0110001565
35731 DUNTHORPE LN, Purcellville, VA 20132
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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)

Ms. Polly Ann Porter Pa-c, Atc 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.

Other Providers at the Same Location NPPES 3

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

TRICIA NGUYEN CSA
Physician Assistant (Surgical)
35731 DUNTHORPE LN
HILLSBORO, VA 20132
Loudoun County (703) 395-3885
PORTER PERFORMANCE
Contractor
35731 DUNTHORPE LN
PURCELLVILLE, VA 20132
Loudoun County (540) 668-6350
MVP ASSISTING, LLC
Physician Assistant
35731 DUNTHORPE LN
PURCELLVILLE, VA 20132
Loudoun County (540) 668-6350

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 Polly Porter's NPI number?

The NPI number for Polly Porter is 1568566503. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Polly Porter located?

Polly Porter practices at 35731 Dunthorpe Ln, Purcellville, VA 20132. The listed phone number is (703) 395-3885.

What is Polly Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Polly Porter enrolled in Medicare?

Yes. Polly Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Polly Porter was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.