Mrs Nikki B Porter, PA-C in Shreveport, LA - Medicare Physician Assistant

Mrs Nikki B Porter, PA-C is a medicare enrolled "Physician Assistant" in Shreveport, Louisiana. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Musculoskeletal Institute Of Louisiana Llc and her current practice location is 1500 Line Ave, Suite 100, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 635-3052.

Mrs Nikki B Porter is licensed to practice in Louisiana (license number 200061) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679598353.

Contact Information

	Mrs Nikki B Porter, PA-C
	1500 Line Ave, Suite 100, Shreveport, LA 71101-4639
	(318) 635-3052
	(318) 635-3072

Map and Direction

Provider's Profile

Full Name	Mrs Nikki B Porter
Gender	Female
Speciality	Physician Assistant
Experience	19 Years
Location	1500 Line Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nikki B Porter graduated from nursing school in 2005

NPI Data:

NPI Number: 1679598353
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 0345260329
Enrollment ID: I20051206000415

Medical Identifiers

Medical identifiers for Mrs Nikki B Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679598353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	200061 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus St Michael Health System	Texarkana, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Musculoskeletal Institute Of Louisiana Llc	0143127415	27

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. Mrs Nikki B 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
Mrs Nikki B Porter, PA-C 1534 Elizabeth Ave Ste 301, Shreveport, LA 71101-4531 Ph: (318) 629-5001	Mrs Nikki B Porter, PA-C 1500 Line Ave, Suite 100, Shreveport, LA 71101-4639 Ph: (318) 635-3052

Reviews and Comments

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Mrs Nikki B Porter, PA-C - Medicare Physician Assistant in Shreveport, LA