NPIMap

Individual provider Active NPI

Jason Robert Potts, MD

  • Internal Medicine Physician
  • Lincoln, NE
National Provider Identifier
1215940358
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22043 Issued in NE
Practice address
3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497
Phone
(402) 421-3240
Fax
(402) 423-0739
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22043 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497

Mailing address

3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497
Phone (402) 421-3240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.potts.1@14572.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000748 NE Practitioner - Internal Medicine 9830240282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians
Lincoln Internal Medicine Associates, PCGroup PAC ID 1658344825, 11 clinicians

Practice addresses (Care Compare)

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497
Phone (402) 421-3240

Hospital & facility affiliations

  • CHI Health at Home - Lincoln Home health agency, Lincoln, NE, CCN 287050
  • Hillcrest Home Care Home health agency, Bellevue, NE, CCN 287133
  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Centerwell Home Health Home health agency, Lincoln, NE, CCN 287060
  • Interim Healthcare Home health agency, Lincoln, NE, CCN 287062
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025
  • Southlake Village Rehabilitation & Care Center Nursing home, Lincoln, NE, CCN 285219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Internal Medicine Associates, PC Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients

Locations

3901 Pine Lake Rd
Ste 220
Lincoln, NE 68516
Phone (402) 421-3240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14572/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jason.potts.1@14572.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1215940358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-421-3240",
            "fax_number": "402-423-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-421-3240",
            "fax_number": "402-423-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "22043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.potts.1@14572.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3901 Pine Lake Rd",
            "address_2": "Suite 220",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.