Jennifer Potter, NP

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

5016417 Issued in NC

Practice address

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494

Phone

(919) 736-1110

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpotter705939@direct.unc.nchie.net

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

• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Geriatric Consultants PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Hickory, NC
  • NPI 1801478086
  Medicare reassignment NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD

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

• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  dba UNC Lenoir Health Care

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1053042689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BLAND HOWELL RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047499",
            "telephone_number": "252-560-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349494",
            "telephone_number": "919-736-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5016417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Ponzi, MD
• Daniel Thomas Poole, M.D.
• Teresa A Poole, PHD
• Debra Carol Porter, M.S., CCC-SLP
• Positive Beginnings Community Center, LLC
• Christopher C. Potts, D.M.D.
• Frederick L Potts, M.D.
• Tereaka Powell, LCSW
• Neha Pradhan, M.D.
• Maya Preedom, OTR/L

• Critical Care Medicine Nurse Practitioner in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Critical Care Medicine Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.