Janesa Porter, DNP, CPNP AC/PC in Salt Lake City, UT

Janesa Porter, DNP, CPNP AC/PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Salt Lake City, Utah. Her current practice location is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-1234.

Janesa Porter is licensed to practice in Utah (license number 9796639-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114636776.

Contact Information

	Janesa Porter, DNP, CPNP AC/PC
	100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Janesa Porter
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	100 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114636776
Provider Enumeration Date: 11/22/2022
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2567825342
Enrollment ID: I20230825003428

Medical Identifiers

Medical identifiers for Janesa Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114636776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP026647 (Pennsylvania)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	9796639-4405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Janesa Porter allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janesa Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Janesa Porter, DNP, CPNP AC/PC 1467 E Ramona Ave, Salt Lake City, UT 84105-3707 Ph: () -	Janesa Porter, DNP, CPNP AC/PC 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-1234

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166
Sarah Zobell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1619

Janesa Porter, DNP, CPNP AC/PC - Medicare Nurse Practitioner in Salt Lake City, UT