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

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