Hillary-Paige Graves Potter, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-752 Issued in AR

Practice address

17 Medical PLZ
Mountain Home, AR 72653-2918

Phone

(870) 508-5900

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hillary Paige Graves Former name

Medicare fee-for-service enrollment

Enrolled in DC, AR, MO3 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 3

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Skaggs Community Hospital Association

  • Neurology Physician
  • Branson, MO
  • NPI 1417992793
  Medicare reassignment Care Compare group NPD
• Interventional Pain Management Associates PLLC

  • Interventional Pain Medicine Physician
  • Mountain Home, AR
  • NPI 1902231178
  Medicare reassignment
• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265

  DC

  Medicare reassignment
• Baxter County Regional Hospital, Inc

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1316777329
  NPD
• Baxter County Regional Hospital, Inc

  • Pain Clinic/Center
  • Harrison, AR
  • NPI 1720430309
  NPD
• Skaggs Community Hospital Association

  • Family Medicine Physician
  • Branson, MO
  • NPI 1356291298
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Skaggs Community Hospital Association

  • General Acute Care Hospital
  • Branson, MO
  • NPI 1760443980
  Care Compare affiliation

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144607268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-528-2810",
            "fax_number": "301-528-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-508-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Thomas Johnson Dr",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024895",
            "country_code": "US",
            "telephone_number": "301-620-0012",
            "fax_number": "301-620-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "HILLARY-PAIGE",
        "middle_name": "GRAVES",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "GRAVES",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genya A Pope
• Diane Porter
• Shaun Stuart Potier, DPT
• Tricia Potter-Ridge
• Brandie Potter
• Jayma Potter, LCSW
• Jennifer Potts, MHPP
• James Pouncy
• Angela Noel Powell, PHARM.D.
• PPG Store 4, LLC

• Medical Physician Assistant in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.