CONNIE PORTER (NP) – Family Nurse Practitioner, NPI 1063967396

CONNIE PORTER (NP) is a healthcare provider. based in Marion, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP.019659 (OH). The NPI Number for CONNIE PORTER (NP) is 1063967396

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE PORTER (NP)
NPI
1063967396
Phone
(567) 221-2568
Address
181 E CENTER ST
Enumeration Date
16 August 2016
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403837936
Graduation Year
2016 (10 years ago)
PAC ID
7416245824
Group Practice PAC ID
1850549437
Professional Enrollment ID
I20161017002619

Contacts

Secure Messaging
cporter107502@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for CONNIE PORTER (NP)

  • 181 E CENTER ST

    MARION, OH 433023830

    Phone: (567) 221-2568

    Type: Mailing

  • Marion Medical Campus, 1040, Delaware Avenue, Marion, Marion Township, Marion County, Ohio, 43302, United States

    MARION, OH 433026416

    Phone: (740) 383-7936

    Fax: (740) 375-8174

    Type: Mailing

  • 165, West Center Street, Downtown, Marion, Marion County, Ohio, 43302, United States

    MARION, OH 433023742

    Phone: (740) 692-4410

    Fax: (740) 692-4412

    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: 2016-10-17

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
I20161017002619INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5245$0
99212Established patient office or other outpatient visit, 10-19 minutes1716$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 43302)

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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: 1850549437View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
-OH
O P H T H A L M O L O G YOH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
General SurgeryOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to CONNIE PORTER (NP)?
The federal identifier for CONNIE PORTER (NP) is NPI 1063967396.
Is CONNIE PORTER (NP)'s NPI currently valid?
The extract we use shows CONNIE PORTER (NP) as active.
What does CONNIE PORTER (NP) treat or focus on?
Patients typically see CONNIE PORTER (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CONNIE PORTER (NP) practice in Ohio?
You will see Marion, Ohio on file for CONNIE PORTER (NP) alongside any extra practice locations.
How can I contact CONNIE PORTER (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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