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

Q: 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.

Q: What is Keyonna 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 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 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 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: August 16, 2026.

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

On this page

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

Phone(843) 212-8070

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next.Insurance ›

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

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.

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.

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Family Medicine