KATHLEEN P PORTER PNP
NPI 1891067989
Nurse Practitioner - Pediatrics in Baltimore, MD

Q: What is Kathleen Porter's NPI number?

The NPI number for Kathleen Porter is 1891067989. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Q: What is Kathleen Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Porter was last updated on November 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 03, 2012PECOS Enrolled

3120 ERDMAN AVE, BALTIMORE, MD 21213(410) 558-4800(410) 276-7226 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kathleen P Porter Pnp NPPES

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

KATHLEEN P PORTER PNP (NPI 1891067989) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R187544) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891067989

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATHLEEN P PORTERCredential: PNP

Location Address3120 ERDMAN AVEBaltimore, MD 21213-1720

Mailing Address3501 Sinclair LnBaltimore, MD 21213-2029 · (410) 732-8800 · Fax (410) 534-2392

Phone(410) 558-4800

Fax(410) 276-7226

Sole ProprietorNo

Enumeration DateFebruary 3, 2012

Last NPPES UpdateNovember 30, 2015

✔ NPI 1891067989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MD · R187544

3120 ERDMAN AVE, Baltimore, MD 21213

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Other Identifiers 1

Medicaid376751500MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen P Porter Pnp 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 21213 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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Other Providers at the Same Location NPPES 19

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

BALTIMORE MEDICAL SYSTEM INC

Pharmacy (Community/Retail Pharmacy)