Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205676715 Individual Practitioner Female Practitioner

Brooke Renee Porter

Physician Assistant • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brooke Porter is a certified Physician Assistant practicing in Worcester, MA. With approximately 2 years of clinical experience since completing medical education in 2024, Brooke Porter delivers high-quality medical care to the local community at 55 LAKE AVE N.

Brooke Porter is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744416468
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (2 Years) 2 Yrs
Worcester Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA101455

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110219402A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Secondary Practice Locations

119 Belmont St

Worcester, MA 016052903

Phone: 7744416468

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Zachary Cyr , NP

Nurse Practitioner

NPI 1063139608

Nurse Practitioner

Elizabeth Girard

Physician Assistant

NPI 1114715778
Taryn Kornegay , ACNPC-AG

Nurse Practitioner

NPI 1306656665

ACNPCAG

NPI 1346885472

Nurse Practitioner

Erin Bowman , PA

Physician Assistant

NPI 1386377695

Physician Assistant

Rebecca Meservier , PA-C

Physician Assistant

NPI 1417545823

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 20, 2025

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744416468)

📍
Updated Business Mailing Address March 20, 2025

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Physician Assistant (License #PA101455 in MA)

NPI Profile Active May 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2024

Registered at 19 FOSTER ST, WORCESTER, MA 016081715 (Tel: 6178795964)

📍
Updated Business Mailing Address May 31, 2024

Registered at 2596 REDWOOD CT, SAN BERNARDINO, CA 924072176 (Tel: 9098447158)

👤
Provider Name / Credentials Updated May 31, 2024

Recorded as BROOKE PORTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 31, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205676715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2024
Last Update: March 20, 2025
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.