ELAINE PORTER MD
NPI 1972522613
Family Medicine in Shasta Lake, CA
About Elaine Porter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE PORTER MD (NPI 1972522613) is an individual family medicine provider in Shasta Lake, California, licensed in California (A61020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Elaine Porter Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Elaine Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shasta Lake, CA 96019
- Reassigned Medicare billing, California enrollment
- 144 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SHASTA LAKE, CA 96019
SHASTA LAKE, CA 96019
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 Elaine Porter's NPI number?
The NPI number for Elaine Porter is 1972522613. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Elaine Porter located?
Elaine Porter practices at 4215 Front St, Shasta Lake, CA 96019. The listed phone number is (530) 246-5710.
What is Elaine Porter's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elaine Porter enrolled in Medicare?
Yes. Elaine 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 organization bills Medicare for Elaine Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Porter reassigns Medicare benefits to Shasta Community Health Center (Shasta Lake, CA). The 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 Elaine Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elaine Porter was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Elaine Porter, MD · NPI 1972522613
Family Medicine physician in Shasta Lake, California. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1972522613 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A61020 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4215 FRONT ST, Shasta Lake, CA 96019-9430
- **Phone:** (530) 246-5710 · **Fax:** (530) 241-7838
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shasta Community Health Center (NPI 1013932797, Shasta Lake, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** March 22, 2016
- **Other identifiers:** Medicare UPIN A61020
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Source: [NPI Profile](https://npiprofile.com/npi/1972522613) · Data from the CMS NPPES public registry.