MRS. NIKKI B PORTER PA-C
NPI 1679598353
Physician Assistant in Shreveport, LA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1500 LINE AVE, SUITE 100, SHREVEPORT, LA 71101(318) 635-3052(318) 635-3072 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2020, Nov 29, 2017, Jun 29, 2017 (3 updates tracked since 2017).

About Mrs. Nikki B Porter Pa-c NPPES

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

MRS. NIKKI B PORTER PA-C (NPI 1679598353) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (200061) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679598353
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NIKKI B PORTERCredential: PA-C
Location Address1500 LINE AVE, SUITE 100Shreveport, LA 71101-4639
Mailing Address1534 Elizabeth Ave Ste 301Shreveport, LA 71101-4531 · (318) 629-5001 · Fax (318) 629-5020
Fax(318) 635-3072
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 31, 20203 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1679598353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · 200061
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 LINE AVE, Shreveport, LA 71101

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

Mrs. Nikki B Porter Pa-c 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 ID345260329
PECOS Enrollment IDI20051206000415
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

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.

X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Specialists Hospital Shreveport

Acute Care Hospitals · Shreveport, LA
OwnershipProprietary
CMS Certification Number190278
Location1500 Line AvenueShreveport, LA 71101 · Caddo County

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
1500 LINE AVE
SHREVEPORT, LA 71101
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101

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 Nikki Porter's NPI number?

The NPI number for Nikki Porter is 1679598353. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Nikki Porter located?

Nikki Porter practices at 1500 Line Ave Suite 100, Shreveport, LA 71101. The listed phone number is (318) 635-3052.

What is Nikki Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nikki Porter enrolled in Medicare?

Yes. Nikki 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 Nikki Porter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Nikki 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 Nikki Porter affiliated with any hospitals?

According to CMS data, Nikki Porter is affiliated with Christus Shreveport-Bossier Health System, Specialists Hospital Shreveport and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Nikki Porter was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.