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

Q: 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.

Q: What is Kristy Porter's specialty?

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

Q: When was this NPI record last updated?

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

Active since September 11, 2025PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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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 and accepts Medicare assignment

Kristy Porter 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 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 5

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

SHAIKIA MALLETT

Nurse Practitioner (Primary Care)