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Michele Lee Porter

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as MICHELE PORTER.

Based on the most recent information from CMS, provider Michele Lee Porter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1669776803
Provider Type
Individual
Full Name
Porter, Michele Lee
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/3/2011
Last Updated
7/14/2025

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 256-9836

Mailing Location

1741 Glassy Lake Dr, Virginia Beach, VA 23453-7028

(757) 705-3641

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024168758 Virginia

Michele Lee Porter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Diaz, Patricia

Patel, Megha Maheshkumar

Ogundu, Chidinma

Johnson, Devonna Anne

Bailey, Shelby Jo

Hanen, Chelsey Mae

Young, Mary Beth

Glass, Tiffany M

Capers, Vanessa

Gomez, Margarita