DR. JENNIFER ANN PORTER (DNP, CNM) – Advanced Practice Midwife, NPI 1649513979

DR. JENNIFER ANN PORTER (DNP, CNM) is a healthcare provider. based in Alexandria, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials DNP, CNM. The NPI Number for DR. JENNIFER ANN PORTER (DNP, CNM) is 1649513979

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ANN PORTER (DNP, CNM)
NPI
1649513979
Phone
(320) 763-5123
Address
610 30TH AVE W
Enumeration Date
4 April 2013
Last Update Date
8 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202525131
Graduation Year
2013 (13 years ago)
PAC ID
7214165828
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20140106000043
Address ID
MN563032735SA1200XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

Provider Addresses for DR. JENNIFER ANN PORTER (DNP, CNM)

  • 610 30TH AVE W

    ALEXANDRIA, MN 563083426

    Phone: (320) 763-5123

    Fax: (320) 763-7883

    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)

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: 2014-01-06

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
I20140106000043ICertified Nurse Midwife (Cnm)MNTBD

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 56308)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JENNIFER ANN PORTER (DNP, CNM)?
The federal identifier for DR. JENNIFER ANN PORTER (DNP, CNM) is NPI 1649513979.
Is DR. JENNIFER ANN PORTER (DNP, CNM)'s NPI currently valid?
The extract we use shows DR. JENNIFER ANN PORTER (DNP, CNM) as active.
What field does DR. JENNIFER ANN PORTER (DNP, CNM) work in?
You can think of DR. JENNIFER ANN PORTER (DNP, CNM) as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JENNIFER ANN PORTER (DNP, CNM)?
The page summarizes Alexandria, Minnesota for DR. JENNIFER ANN PORTER (DNP, CNM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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