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

Jeffrey Porter

Individual provider Registered Nurse · NPI 1477901023

Jeffrey Porter is a Certified Registered Nurse Anesthetist (CRNA) in Saint Joseph, Missouri. Qualified in 2016, 10 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone: (816) 271-6350
Fax: (816) 271-6753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2016019080 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2010000185 (MO)

Record details

NPI number1477901023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESJuly 8, 2019
Mailing address5325 Faraon St, Saint Joseph, MO 64506-3488

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Joseph