Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie Porto, PA-C

Individual provider Physician Assistant · NPI 1104935303

Jennifer Marie Porto, PA-C is a Physician Assistant in Overland Park, Kansas. Qualified in 2006, 20 years ago. Practices with Overland Park Surgical Specialties LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
20
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10600 Mastin St
Overland Park, KS 66212-5723
Phone: (913) 469-6447
Fax: (913) 338-1311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2006022546 (MO)
Physician Assistant Taxonomy 363A00000X · Licence T00749 (KS)

Record details

NPI number1104935303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 31, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Overland Park Surgical Specialties Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Overland Park