Kimberly Porter, in Conway, NH - Medicare Nurse Practitioner

Kimberly Porter, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Conway, New Hampshire. Her current practice location is 25 W Main St, Conway, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 447-2111.

Kimberly Porter is licensed to practice in New Hampshire (license number 043805-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588370563.

Contact Information

	Kimberly Porter,
	25 W Main St, Conway, NH 03818-6142
	(603) 447-2111
	(603) 447-1021

Map and Direction

Provider's Profile

Full Name	Kimberly Porter
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	25 W Main St, Conway, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588370563
Provider Enumeration Date: 01/24/2023
Last Update Date: 03/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3072959741
Enrollment ID: I20240316000026

Medical Identifiers

Medical identifiers for Kimberly Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588370563	NPI	-	NPPES
043805-23	Other	NH	APRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	043805-21 (New Hampshire)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	043805-23 (New Hampshire)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Porter allows following entities to bill medicare on her behalf.

Entity Name	Northern Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700955028 PECOS PAC ID: 3173595931 Enrollment ID: O20041203000587

Entity Name	Northern Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700955028 PECOS PAC ID: 3173595931 Enrollment ID: O20050617000444

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Porter, 87 Washington St, Conway, NH 03818-6044 Ph: () -	Kimberly Porter, 25 W Main St, Conway, NH 03818-6142 Ph: (603) 447-2111

Reviews and Comments

Nurse Practitioner Nurses in Conway, NH

Christine Clyne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 298 White Mountain Hwy, Conway, NH 03818 Phone: 603-447-8900
Marcelo Augusto Maiorano, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 298 White Mountain Hwy, Conway, NH 03818 Phone: 603-447-8900
Sharyn Mae Flanagan-rogers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 298 White Mountain Hwy, Conway, NH 03818 Phone: 603-447-8900 Fax: 603-447-4846
Sarah Ann Duplinsky, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Greenwood Ave, Conway, NH 03818 Phone: 603-447-3500 Fax: 603-447-5568
Deborah Ann Cross, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 298 White Mountain Hwy, Conway, NH 03818 Phone: 603-447-8900
Kathryn Barr Keating, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 W Main St, Conway, NH 03818 Phone: 603-447-2111 Fax: 603-447-1021
Emily Beaulieu, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Greenwood Ave, Conway, NH 03818 Phone: 603-447-3500 Fax: 603-447-5568

Kimberly Porter, - Medicare Nurse Practitioner in Conway, NH