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KRISTY PORTER
NPI 1689555906
Nurse Practitioner - Family in Little Rock, AR

Active since September 11, 2025PECOS Enrolled
11402 W MARKHAM ST, LITTLE ROCK, AR 72211(501) 482-3389 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristy Porter NPPES

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

KRISTY PORTER (NPI 1689555906) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (229586) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689555906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTY PORTER
Location Address11402 W MARKHAM STLittle Rock, AR 72211-2806
Mailing Address11402 W Markham StLittle Rock, AR 72211-2806 · (501) 482-3389
Phone(501) 482-3389
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1689555906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 229586
11402 W MARKHAM ST, Little Rock, AR 72211
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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)

Kristy Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133619463
PECOS Enrollment IDI20251105003603
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 72211 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 4

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

SHAIKIA MALLETT
Nurse Practitioner (Primary Care)
11402 W MARKHAM ST
LITTLE ROCK, AR 72211
Pulaski County (501) 482-3389
HANNAH MEAGAN WRIGHT
Nurse Practitioner (Family)
11402 W MARKHAM ST
LITTLE ROCK, AR 72211
Pulaski County (501) 425-7564
CAILEN WHITNEY APRN
Nurse Practitioner (Family)
11402 W MARKHAM ST
LITTLE ROCK, AR 72211
Pulaski County (501) 482-3389
MRS. LIHSIEN SUE MARX FNP-C
Family Medicine
11402 W MARKHAM ST
LITTLE ROCK, AR 72211
Pulaski County (501) 482-3389

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 Kristy Porter's NPI number?

The NPI number for Kristy Porter is 1689555906. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Kristy Porter located?

Kristy Porter practices at 11402 W Markham St, Little Rock, AR 72211. The listed phone number is (501) 482-3389.

What is Kristy Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristy Porter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristy Porter was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.