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JENNY PORTER PA
NPI 1639479777
Physician Assistant - Medical in Glen Allen, VA

Active since October 22, 2010PECOS EnrolledAccepts Medicare Assignment
9851 BROOK RD, GLEN ALLEN, VA 23059(804) 893-8702 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jenny Porter Pa NPPES

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

JENNY PORTER PA (NPI 1639479777) is an individual medical provider in Glen Allen, Virginia, licensed in Virginia (0110010102) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains a secondary practice location in Newberry.

NPPES Registry Identity

NPI1639479777
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNY PORTERCredential: PA
Location Address9851 BROOK RDGlen Allen, VA 23059-4559
Mailing Address55 Cantrell Rd, Ste 100Cleveland, GA 30528-1083 · (352) 258-4452
Phone(804) 893-8702
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 22, 2010
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1639479777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110010102
9851 BROOK RD, Glen Allen, VA 23059
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Secondary Practice Location 1

Location 1128 NW 137th DrNewberry, FL 32669 · Phone (352) 258-4452

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

Jenny Porter Pa 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 ID8729256318
PECOS Enrollment IDI20240730001042
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

BON SECOURS URGENT CARE LLC
Clinic/Center (Urgent Care)
9851 BROOK RD
GLEN ALLEN, VA 23059
Hanover County (804) 893-8702
BON SECOURS AMBULATORY SERVICES LLC
Clinic/Center (Urgent Care)
9851 BROOK RD
GLEN ALLEN, VA 23059
Hanover County (804) 893-8702
MS. MENDY BETH CORTER P.A.
Physician Assistant
9851 BROOK RD
GLEN ALLEN, VA 23059
Hanover County (804) 893-8702
NERMINE ANWAR SALEH M.D.
Family Medicine
9851 BROOK RD
GLEN ALLEN, VA 23059
Hanover County (804) 893-8702

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 Jenny Porter's NPI number?

The NPI number for Jenny Porter is 1639479777. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Jenny Porter located?

Jenny Porter practices at 9851 Brook Rd, Glen Allen, VA 23059. The listed phone number is (804) 893-8702.

What is Jenny Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jenny Porter enrolled in Medicare?

Yes. Jenny 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.

Is Jenny Porter affiliated with any hospitals?

According to CMS data, Jenny Porter is affiliated with Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Jenny Porter was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.