Individual provider Active NPI

Nichole Marie Potts, APRN

  • Adult Health Nurse Practitioner
  • Valley Falls, KS
National Provider Identifier
1174957666
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-76064-012 Issued in KS
Practice address
403 Sycamore St
Valley Falls, KS 66088-1318
Phone
(785) 945-3263
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 53-76064-012 KS Primary

Addresses

Primary practice location

403 Sycamore St
Valley Falls, KS 66088-1318

Mailing address

403 Sycamore St
Valley Falls, KS 66088-1318
Phone (785) 945-3263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140121001079 KS Practitioner - Nurse Practitioner 6103054184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

2840 SW Urish Rd
Topeka, KS 66614-5614
Phone (785) 228-2277

4550 W 109TH St
Suite 210
Overland Park, KS 66211-1351
Phone (913) 287-5678

600 SW Jewell Ave
Topeka, KS 66606-1607
Phone (785) 295-5310

631 SW Horne St
Topeka, KS 66606-1663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76064-012KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alternatives of Missouri, LLC CurrentSince Nov 16, 2024 Accepting new patients
Care Alternatives of Missouri, LLC CurrentSince Nov 16, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

4550 W 109th St
Ste 210
Overland Park, KS 66211
Phone (913) 287-5678

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

403 Sycamore St
Valley Falls, KS 66088
Phone (785) 865-7512

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

Interoperability endpoints

  • Direct secure messaging: npotts191311@ahs.direct-ci.com

Organizations & group practices 4

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 6

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1174957666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SYCAMORE ST",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660881318",
            "telephone_number": "785-945-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SYCAMORE ST",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660881318",
            "telephone_number": "785-945-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-76064-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Falls, KS

Sources for this page

Verify at the official NPI Registry.