KELLIE A PORTER NP-C
NPI 1619314523
Nurse Practitioner in Casa Grande, AZ

Active since May 31, 2013PECOS Enrolled
1876 E SABIN DR STE 10, CASA GRANDE, AZ 85122(520) 836-9800(520) 836-1510 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Aug 25, 2021, Nov 7, 2019 (3 updates tracked since 2019).

About Kellie A Porter Np-c NPPES

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

KELLIE A PORTER NP-C (NPI 1619314523) is an individual nurse practitioner in Casa Grande, Arizona, licensed in Arizona (AP4957) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619314523
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLIE A PORTERCredential: NP-C
Location Address1876 E SABIN DR STE 10Casa Grande, AZ 85122-6197
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (866) 266-0555 · Fax (866) 266-4999
Fax(520) 836-1510
Sole ProprietorYes
Enumeration DateMay 31, 2013
Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1619314523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · AP4957
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP4957 (AZ)
1876 E SABIN DR STE 10, Casa Grande, AZ 85122

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 (PECOS)

Kellie A Porter Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Radiology (Radiation Oncology)
1876 E SABIN DR STE 10
CASA GRANDE, AZ 85122
Internal Medicine (Medical Oncology)
1876 E SABIN DR STE 10
CASA GRANDE, AZ 85122
Radiology (Radiation Oncology)
1876 E SABIN DR STE 10
CASA GRANDE, AZ 85122

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 Kellie Porter's NPI number?

The NPI number for Kellie Porter is 1619314523. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Kellie Porter located?

Kellie Porter practices at 1876 E Sabin Dr Ste 10, Casa Grande, AZ 85122. The listed phone number is (520) 836-9800.

What is Kellie Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kellie Porter enrolled in Medicare?

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

What insurance does Kellie Porter accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Providence Health Plan list Kellie 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 Kellie Porter was last updated on July 7, 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.