Kimberly Porter, PAC
NPI 1780646612 · Physician Assistant · Barksdale Afb, LA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Porter, PAC is a Physician Assistant provider in Barksdale Afb, LA (NPI 1780646612).
Provider details
- NPI number
- 1780646612
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA.200235 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 2400 Hospital DrBossier City, LA 71111-2385Phone: (318) 212-7000
- 2510 Bert Kouns Industrial LoopShreveport, LA 71118-3180Phone: (318) 212-5000Fax: (318) 632-5217
- 8001 Youree DrShreveport, LA 71115-2302Phone: (318) 212-3000Fax: (318) 212-3008
- 2600 Greenwood RdShreveport, LA 71103-3908Phone: (318) 212-4000Fax: (318) 632-5217
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2019-08-16
Frequently asked questions
- What is Kimberly Porter's NPI number?
- Kimberly Porter's National Provider Identifier (NPI) is 1780646612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Porter's specialty?
- Kimberly Porter is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Porter located?
- Kimberly Porter's practice location on file with NPPES is 243 Curtiss Rd, Barksdale Afb, LA 71110-2425.
- What is Kimberly Porter's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Porter is (318) 456-7320.
- Does Kimberly Porter accept Medicare?
- Kimberly Porter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Porter's NPI active?
- Yes — Kimberly Porter's NPI (1780646612) is active in the NPPES registry as of the last update on 2019-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.