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

Kristin Rae Porter

Individual provider Women's Health Nurse Practitioner · NPI 1366053217

Kristin Rae Porter is a Nurse Practitioner in Bowie, Maryland. Qualified in 2020, 6 years ago. Practices with Capital Womens Care LLC, a 287-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3060 Mitchellville Rd Ste 210
Bowie, MD 20716-3969
Phone: (410) 245-1563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence R178637 (MD)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence R178637 (MD)

Record details

NPI number1366053217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Capital Womens Care Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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