Elizabeth Potter, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3003285 Issued in KY

Practice address

1412 Ky-7
West Liberty, KY 41472

Phone

(606) 743-1600

Fax

(606) 743-2220

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clemente V. Zulueta, Jr., MD, PLLCGroup PAC ID 2264419811, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clemente V. Zulueta, Jr., MD, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, KY
  • NPI 1275543175
  Medicare reassignment Care Compare group NPD
• Youthful Essence Medical Center, PLLC

  • Family Nurse Practitioner
  • West Liberty, KY
  • NPI 1760662852
  Medicare reassignment NPD Authorized official
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD (past)
• Mitchell Wicker Jr MD PSC

  dba Hazard Clinic

  • Internal Medicine Physician
  • Hazard, KY
  • NPI 1093718116
  NPD (past)
• Mitchell Wicker., Jr., M.D., P.S.C.

  dba Hazard Clinic

  • Internal Medicine Physician
  • Hazard, KY
  • NPI 1629249560
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1154478162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 HUTCHINSON RD",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414722032",
            "telephone_number": "606-743-1600",
            "fax_number": "606-743-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 KY-7",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "41472",
            "telephone_number": "606-743-1600",
            "fax_number": "606-743-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 West Main Street",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414721007",
            "country_code": "US",
            "telephone_number": "606-743-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3003285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000338753",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004843",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "201287473001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton's Pharmacy, Inc
• Kory Phelps
• Lydia Phipps, APRN
• Amanda Pieratt
• Sarah Porter
• Irene Powell
• Provision Home
• Candice Ratliff
• Shateka Ratliff
• Stacy Lynn Ritchie, PT

• Family Nurse Practitioner in West Liberty, KY
• Providers in West Liberty, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.