JENNIFER KELLY PORTER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1689103673

JENNIFER KELLY PORTER (CRNA) is a healthcare provider. based in Holliston, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 117377 (MA). The NPI Number for JENNIFER KELLY PORTER (CRNA) is 1689103673

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KELLY PORTER (CRNA)
NPI
1689103673
Phone
Not provided
Address
57 PILGRIM RD
Enumeration Date
5 June 2017
Last Update Date
19 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8572828100
Graduation Year
2017 (9 years ago)
PAC ID
5496020141
Group Practice PAC ID
3971987108
Professional Enrollment ID
I20171005000262
Address ID
MA018034945BU47XXXTPKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Loading map...

Provider Addresses for JENNIFER KELLY PORTER (CRNA)

  • 57, Pilgrim Road, Holliston, Middlesex County, Massachusetts, 01746, United States

    HOLLISTON, MA 017462422

    Phone:

    Type: Mailing

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142621

    Phone: (617) 726-3030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($53).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2017-10-05

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
I20171005000262ICertified Registered Nurse Anesthetist (Crna)MATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 01746)

Loading plans...

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: 3971987108View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YMA
Internal MedicineOH
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMN
Internal Medicine, HospitalistMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YNH
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does JENNIFER KELLY PORTER (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER KELLY PORTER (CRNA) uses 1689103673.
Does CMS list JENNIFER KELLY PORTER (CRNA) as active?
Yes — JENNIFER KELLY PORTER (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes JENNIFER KELLY PORTER (CRNA)?
For research purposes, treat JENNIFER KELLY PORTER (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER KELLY PORTER (CRNA) list a practice location?
Patients near Holliston, Massachusetts may find JENNIFER KELLY PORTER (CRNA) in results; validate coverage separately.
Why does JENNIFER KELLY PORTER (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

MICHAEL KELLY (CRNA)

Certified Registered Nurse Anesthetist
202 ASHLAND ST
NPI: 1023400462

SAMANTHA GRACE MAYO (CRNA)

Certified Registered Nurse Anesthetist
5 2ND RD
NPI: 1538728704

KERRY RITUCCI

Certified Registered Nurse Anesthetist
1149 HIGHLAND ST
NPI: 1124603865