Individual provider Active NPI

Julie A Potter, APRN

  • Family Nurse Practitioner
  • Osage, IA
National Provider Identifier
1083751028
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A099514 Issued in IA
Practice address
620 N 8TH St
Osage, IA 50461-1456
Phone
(641) 732-6100
Fax
(641) 732-6182
NPI assigned
Jan 31, 2007
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A099514 IA Primary

Addresses

Primary practice location

620 N 8TH St
Osage, IA 50461-1456

Mailing address

620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.potter@direct.2.mycarefile.org Direct MercyOne North Iowa

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20140102000149 IA Practitioner - Nurse Practitioner 5597832733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell County Memorial HospitalGroup PAC ID 5890603070, shared by 6 NPIs, 23 clinicians

Practice addresses (Care Compare)

616 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6000

620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100

713 Woodland Ave
Suite a
Riceville, IA 50466-7542
Phone (641) 985-2122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1897MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Memorial Hospital Current Accepting new patients
Mitchell County Memorial Hospital CurrentSince Sep 30, 2013 Accepting new patients
Mitchell County Memorial Hospital CurrentSince Sep 30, 2013 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Mitchell County Memorial Hospital Past Accepting new patients

Locations

616 N 8th St
Osage, IA 50461
Phone (641) 732-6000

620 N 8th St
Osage, IA 50461
Phone (641) 732-6100

713 Woodland Ave
Ste A
Riceville, IA 50466
Phone (641) 985-2122

140 W 4th St
Saint Ansgar, IA 50472
Phone (641) 713-4381

Interoperability endpoints

  • Direct secure messaging: julie.potter@direct.2.mycarefile.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1083751028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6100",
            "fax_number": "641-732-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A099514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.potter@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "Mitchell County Regional Health Services",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Osage, IA

Sources for this page

Verify at the official NPI Registry.