MRS. KIMBERLY JEAN PORTER PAC
NPI 1780646612
Physician Assistant in Barksdale Afb, LA

Active since April 05, 2006PECOS Enrolled
91.32/100
CMS Quality Rating
243 CURTISS RD, BARKSDALE AFB, LA 71110(318) 456-7320(318) 456-6246 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly Jean Porter Pac NPPES

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

MRS. KIMBERLY JEAN PORTER PAC (NPI 1780646612) is an individual physician assistant in Barksdale Afb, Louisiana, licensed in Louisiana (PA.200235) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1780646612
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY JEAN PORTERCredential: PAC
Location Address243 CURTISS RDBarksdale Afb, LA 71110-2425
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(318) 456-6246
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateAugust 16, 2019
NPI 1780646612 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 · PA.200235
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.

243 CURTISS RD, Barksdale Afb, LA 71110

Other Names 1

Former Name (1)Miss Kimberly Jean Evans

Secondary Practice Locations 4

Location 18001 Youree DrShreveport, LA 71115-2302 · Phone (318) 212-3000 · Fax (318) 212-3008
Location 22510 Bert Kouns Industrial LoopShreveport, LA 71118-3180 · Phone (318) 212-5000 · Fax (318) 632-5217
Location 32600 Greenwood RdShreveport, LA 71103-3908 · Phone (318) 212-4000 · Fax (318) 632-5217
Location 42400 Hospital DrBossier City, LA 71111-2385 · Phone (318) 212-7000

Other Identifiers 1

Other1070445Nccpa

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)

Mrs. Kimberly Jean Porter Pac 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 71110 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.15
Improvement Activities40
Cost100

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.

Pediatrics
243 CURTISS RD, 2 MDG SUITE 100
BARKSDALE AFB, LA 71110
Physical Therapist
243 CURTISS RD
BARKSDALE AFB, LA 71110
Respiratory Therapist, Certified (Pulmonary Diagnostics)
243 CURTISS RD, SUITE 100
BARKSDALE AFB, LA 71110
Physician Assistant (Medical)
243 CURTISS RD
BARKSDALE AFB, LA 71110
Social Worker (Clinical)
243 CURTISS RD, SUITE 10
BARKSDALE AFB, LA 71110
Psychiatry & Neurology (Psychiatry)
243 CURTISS RD
BARKSDALE AFB, LA 71110
Radiology (Diagnostic Radiology)
243 CURTISS RD, SUITE 100
BARKSDALE AFB, LA 71110
Psychologist
243 CURTISS RD, SUITE 100
BARKSDALE AFB, LA 71110

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 Kimberly Porter's NPI number?

The NPI number for Kimberly Porter is 1780646612. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Miss Kimberly Jean Evans.

Where is Kimberly Porter located?

Kimberly Porter practices at 243 Curtiss Rd, Barksdale Afb, LA 71110. The listed phone number is (318) 456-7320.

What is Kimberly Porter's specialty?

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

Is Kimberly Porter enrolled in Medicare?

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

What insurance does Kimberly Porter accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Kimberly 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 Kimberly Porter was last updated on August 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.