MARYCLARE PORTER – Family Nurse Practitioner, NPI 1295341519

MARYCLARE PORTER is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 1013532 (TX). The NPI Number for MARYCLARE PORTER is 1295341519

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARYCLARE PORTER
NPI
1295341519
Phone
(801) 266-3113
Address
6405 S 3000 E STE 300
Enumeration Date
22 September 2020
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053246300
Graduation Year
2020 (6 years ago)
PAC ID
7315357860
Group Practice PAC ID
8426362450
Professional Enrollment ID
I20260324003648
Address ID
NM874010826FA4740XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARYCLARE PORTER

  • 6405 S 3000 E STE 300

    SALT LAKE CITY, UT 841216977

    Phone: (801) 266-3113

    Type: Mailing

  • 1062 TAHOE RD

    HARPER, TX 786315394

    Phone: (512) 658-5032

    Type: Mailing

  • 1807 WATER ST

    KERRVILLE, TX 780286023

    Phone: (830) 895-4201

    Type: Location

  • 823 Junction Hwy

    Kerrville, TX 780285056

    Phone: (830) 258-7900

    Type: Location

  • 551 HILL COUNTRY DR

    KERRVILLE, TX 780286085

    Phone: (830) 258-7678

    Type: Mailing

  • 823 JUNCTION HWY

    KERRVILLE, TX 780285056

    Phone: (830) 258-7900

    Type: Location

  • 2095 N DOLORES RD

    CORTEZ, CO 813218924

    Phone: (970) 564-8086

    Fax: (970) 564-8087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: PAINTEQ LLC ($30).

Total Amount

$87

General + Research + Ownership

Payments

4

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

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: 2024-01-15

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
I20240115000979INurse PractitionerCOTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes33173$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes9345$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4637$0
99497Advance care planning, first 30 minutes3635$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3327$0
View full utilization report →

Insurance plans in this area (ZIP 84121)

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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: 8426362450View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerUT
Nurse PractitionerNM
Family PracticeNM
Nurse PractitionerUT
P O D I A T R YNM
Family Practice, Pediatric MedicineUT
Nurse PractitionerNM
Nurse PractitionerNM
P O D I A T R YUT

Reviews

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Frequently asked questions

How do I look up MARYCLARE PORTER by NPI?
Use NPI 1295341519 when you need to reference MARYCLARE PORTER in forms, claims, or directories.
Does this profile mean MARYCLARE PORTER is currently active?
Yes — MARYCLARE PORTER appears active in the national provider directory.
Does MARYCLARE PORTER list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MARYCLARE PORTER. Clinical services aligned with this taxonomy classification.
Does MARYCLARE PORTER practice in Utah?
You will see Salt Lake City, Utah on file for MARYCLARE PORTER alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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