Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Porter, NPP

Individual provider Registered Nurse · NPI 1386139285

David Porter, NPP is a Nurse Practitioner in Fayetteville, New York. Qualified in 2018, 8 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4000 Medical Center Dr Ste 504
Fayetteville, NY 13066
Phone: (315) 329-2650
Fax: (315) 744-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 742 James St, Syracuse, NY 13203-2017 — (315) 703-2745

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402419 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 625493 (NY)

Record details

NPI number1386139285
Entity typeIndividual (Type 1)
GenderMale
Credentials NPP
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESFebruary 2, 2023
Certification dateJanuary 6, 2023
Mailing address4000 Medical Center Dr, Suite 504, Fayetteville, NY 13066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Fayetteville