ANNA BERNICE PORTER (PA) – Physician Assistant, NPI 1205443561
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for ANNA BERNICE PORTER (PA)
PO BOX 1387
HAYDEN, ID 838351387
Phone: (208) 620-5250
Type: Mailing
925 E POLSTON AVE
POST FALLS, ID 838549049
Phone: (208) 618-0787
Fax: (844) 807-3782
Type: Location
108 10TH ST NE
ROCHESTER, MN 559063638
Phone: (608) 963-3335
Type: Mailing
200 1ST ST SW
ROCHESTER, MN 559050002
Phone: (507) 284-2511
Type: Location
740 McKinley Ave Ste 100
Kellogg, ID 838372693
Phone: (208) 783-1267
Fax: (844) 807-3782
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,086.
Total Amount is formed as General ($1,086) + Research ($0) + Ownership ($0) = $1,086.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($269).
Total Amount
$1,086
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,086
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221212001365 | I | Physician Assistant | ID | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 53 | 36 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 41 | 21 | $0 |
| 81002 | Urinalysis, manual test | 21 | 21 | $0 |
Insurance plans in this area (ZIP 83835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner, Certified Nurse Midwife (Cnm) | WA | |
| Mental Health Counselor | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Family Practice | ID |
Reviews
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