EMILY PORTILLO – Certified Registered Nurse Anesthetist, NPI 1194531343

EMILY PORTILLO is a healthcare provider. based in Atlantic beach, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1180061 (TX). The NPI Number for EMILY PORTILLO is 1194531343

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
EMILY PORTILLO
NPI
1194531343
Phone
(717) 307-0813
Address
351 MAIN ST
Enumeration Date
3 December 2024
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175732273
Graduation Year
2024 (2 years ago)
PAC ID
9931610631
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20250618004192
Address ID
TX760485655GR1310XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for EMILY PORTILLO

  • 351 MAIN ST

    ATLANTIC BEACH, FL 322332529

    Phone: (717) 307-0813

    Type: Mailing

  • 1310 PALUXY RD

    GRANBURY, TX 760485655

    Phone: (817) 573-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250618004192ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify EMILY PORTILLO with an NPI only?
You can start verification with NPI 1194531343 for EMILY PORTILLO, then check state licensing separately.
Does the file indicate EMILY PORTILLO is practicing under active NPI?
Directory data currently reports EMILY PORTILLO as active.
What healthcare role does EMILY PORTILLO hold?
Scheduling teams often label EMILY PORTILLO under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY PORTILLO?
EMILY PORTILLO's geographic hint is Atlantic Beach, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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