Individual provider Active NPI

Amy Elizabeth Potts, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1366009276
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3055 Issued in OK
Practice address
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone
(405) 306-7286
NPI assigned
May 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3055 OK Primary

Addresses

Primary practice location

1200 Childrens Ave
Oklahoma City, OK 73104-4637

Mailing address

2326 Sorrento Dr
Oklahoma City, OK 73120-1971
Phone (405) 306-7286

Other practice location 1

1200 Everett Dr # 8Np8305
Oklahoma City, OK 73104-5047
Phone (405) 271-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20191119000439 OK Practitioner - Physician Assistant 6507298288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince Mar 6, 2024 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Apr 27, 2025 Accepting new patients
SSM Health Care of Oklahoma, Inc CurrentSince Apr 27, 2025 Accepting new patients
Healthcare Express, LLP CurrentSince Mar 6, 2024 Accepting new patients
Ou Health Partners, Inc Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1366009276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 SORRENTO DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201971",
            "telephone_number": "405-306-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-306-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Everett Dr # 8Np8305",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045047",
            "country_code": "US",
            "telephone_number": "405-271-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.