MRS. KEYONNA MARIE PORTER NP
NPI 1891159794
Nurse Practitioner - Family in Summerville, SC

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
1114 N MAIN ST, SUMMERVILLE, SC 29483(843) 212-8070(843) 212-8071 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Jul 1, 2025, Jun 25, 2025 and 5 more (8 updates tracked since 2016).

About Mrs. Keyonna Marie Porter Np NPPES

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

MRS. KEYONNA MARIE PORTER NP (NPI 1891159794) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (20196) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891159794
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEYONNA MARIE PORTERCredential: NP
Location Address1114 N MAIN STSummerville, SC 29483-7326
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043
Fax(843) 212-8071
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2016
Last NPPES UpdateSeptember 11, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1891159794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 20196✔ Licensed in KY · 4040124✔ Licensed in AZ · 325161✔ Licensed in NM · 71593✔ Licensed in WI · 1689133✔ Licensed in NV · 887860✔ Licensed in ID · 9571459
Also ListedNurse PractitionerTaxonomy 363L00000X · License 20196 (SC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 204921 (SC)

Other Names 1

Former Name (1)Mrs. Keyonna Williams

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Keyonna Marie Porter Np 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 ID1951693068
PECOS Enrollment IDI20160711001861
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Keyonna Porter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 409 clinicians in this Medicare group
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Florida, Idaho, Kentucky, Mississippi, New Mexico, Nevada, Ohio and South Carolina enrollments
  • 86 clinicians in this Medicare group
Family
7050 S UNION PARK AVE STE 200
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
  • 75 clinicians in this Medicare group
Family Medicine
21540 30TH DR SE STE 400
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 207 clinicians in this Medicare group
Obstetrics & Gynecology
3508 S LIVE OAK DR STE 200
Moncks Corner, SC 29461
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier16 claims481 services$3.64 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier12 claims345 services$3.05 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$51.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier20 claims20 services$13.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant (Medical)
1114 N MAIN ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
1114 N MAIN ST
SUMMERVILLE, SC 29483
Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant
1114 N MAIN ST
SUMMERVILLE, SC 29483

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 Keyonna Porter's NPI number?

The NPI number for Keyonna Porter is 1891159794. It was assigned to this individual provider in the NPPES registry on April 7, 2016. The provider is also known as Mrs. Keyonna Williams.

Where is Keyonna Porter located?

Keyonna Porter practices at 1114 N Main St, Summerville, SC 29483. The listed phone number is (843) 212-8070.

What is Keyonna Porter's specialty?

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

Is Keyonna Porter enrolled in Medicare?

Yes. Keyonna 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.

Which organizations bill Medicare for Keyonna Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyonna Porter reassigns Medicare benefits to 5 organizations: Curana Health Of South Carolina PC (North Charleston, SC), Molina Care Connections, LLC. (Long Beach, CA), Molina Healthcare Of Utah Inc (Midvale, UT), Molina Healthcare Of Washington, Inc (Bothell, WA) and Roper Saint Francis Physicians Network (Moncks Corner, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keyonna Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keyonna Porter accept?

Health plans from First Choice Next list Keyonna 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 Keyonna Porter affiliated with any hospitals?

According to CMS data, Keyonna Porter is affiliated with Roper Hospital.

When was this NPI record last updated?

The NPPES record for Keyonna 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 13 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.