Individual provider Active NPI

Megan Potts

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1043095532
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4009305 Issued in KY
Practice address
3920 S Dupont SQ # C
Louisville, KY 40207-4615
Phone
(812) 282-3899
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4009305 KY
Family Nurse Practitioner 363LF0000X 4009305 KY Primary

Addresses

Primary practice location

3920 S Dupont SQ # C
Louisville, KY 40207-4615

Mailing address

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

Other practice location 1

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010000599 KY Practitioner - Nurse Practitioner 8729433800 Reassigns benefits to 1 organization
I20231011003881 IN Practitioner - Nurse Practitioner 8729433800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Urology PSCGroup PAC ID 3779572888, 56 clinicians

Practice addresses (Care Compare)

300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4009305KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Urology, PSC Nurse Practitioner CurrentSince Sep 26, 2023 Accepting new patients

Locations

3431 Solutions Ctr
Chicago, IL 60677

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

3920 S DuPont Sq
#C
Louisville, KY 40207
Phone (502) 893-3510

3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1043095532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL BLVD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303769",
            "telephone_number": "812-282-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S DUPONT SQ # C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074615",
            "telephone_number": "812-282-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hospital Blvd",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303769",
            "country_code": "US",
            "telephone_number": "812-282-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4009305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.