PORTIA PRICE (PMHNP-BC, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376084780
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PORTIA PRICE (PMHNP-BC, FNP-C)
800 Chambers Rd
Ferguson, MO 631352133
Phone: (314) 524-1111
Fax: (314) 806-4006
Type: Location
10 Lake Dr
Bonne Terre, MO 636281820
Phone: (573) 358-2800
Fax: (573) 358-1090
Type: Location
202 S West St
Concordia, MO 640209643
Phone: (660) 463-2267
Fax: (573) 335-6724
Type: Location
11982, Brookmont Drive, Brookside, Maryland Heights, Saint Louis County, Missouri, 63043, United States
MARYLAND HEIGHTS, MO 630431307
Phone: (314) 276-3943
Type: Mailing
2215 BROADWAY ST
CAPE GIRARDEAU, MO 637014403
Phone: (573) 271-5317
Fax: (573) 335-6724
Type: Mailing
783 WEBER RD
FARMINGTON, MO 636403318
Phone: (573) 756-1574
Fax: (573) 756-1577
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: 2019-02-28
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 |
|---|---|---|---|---|
| I20190228003060 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | MO | |
| Nurse Practitioner | TX | |
| - | MO | |
| Nurse Practitioner | MO |
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