CARLENE PORTER (APN.) – Nurse Practitioner, NPI 1003877630

CARLENE PORTER (APN.) is a healthcare provider. based in Warrenville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN.. They hold a License No. 209-001548 (IL). The NPI Number for CARLENE PORTER (APN.) is 1003877630

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
CARLENE PORTER (APN.)
NPI
1003877630
Phone
(630) 352-5300
Address
4405 WEAVER PKWY
Enumeration Date
31 March 2006
Last Update Date
29 November 2012

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
6303525352
Graduation Year
1996 (30 years ago)
PAC ID
8527005933
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20050415000725
Address ID
IL605553940WA4405XPWKY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for CARLENE PORTER (APN.)

  • 4405, Weaver Parkway, Warrenville, DuPage County, Illinois, 60555, United States

    WARRENVILLE, IL 605553269

    Phone: (630) 352-5300

    Fax: (630) 352-5499

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2023-08-24 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($128).

Total Amount

$363

General + Research + Ownership

Payments

3

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-15

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
I20050415000725INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes456150$0
99215Established patient office or other outpatient visit, 40-54 minutes13186$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 60555)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm CARLENE PORTER (APN.)'s NPI?
Yes. CARLENE PORTER (APN.) is listed with NPI 1003877630 in the public NPI dataset.
Does the file indicate CARLENE PORTER (APN.) is practicing under active NPI?
Directory data currently reports CARLENE PORTER (APN.) as active.
What is CARLENE PORTER (APN.)'s primary classification?
Nurse Practitioner is the headline specialty for CARLENE PORTER (APN.) here. Clinical services aligned with this taxonomy classification.
Where is CARLENE PORTER (APN.) based?
CARLENE PORTER (APN.) is tied to Warrenville, Illinois in the data we show; additional addresses may exist on the full record.
Why does CARLENE PORTER (APN.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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