Individual provider Active NPI

Duanesha Potter, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1487355921
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28230540A Issued in IN
Practice address
2346 S Lynhurst Dr Ste E107
Indianapolis, IN 46241-5169
Phone
(317) 688-8061
Fax
(317) 688-8064
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28230540A IN Primary

Addresses

Primary practice location

2346 S Lynhurst Dr Ste E107
Indianapolis, IN 46241-5169

Mailing address

2346 S Lynhurst Dr Ste E107
Indianapolis, IN 46241-5169
Phone (317) 480-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230710003429 IN Practitioner - Nurse Practitioner 4587023445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2346 S Lynhurst Dr
Suite E107
Indianapolis, IN 46241-5169
Phone (317) 688-8160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28230540AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Servant Express Care, LLC CurrentSince Jun 3, 2023 Accepting new patients
Servant Home Health Care Current Accepting new patients
Nu U Weight Loss PastSince Jun 1, 2024 Accepting new patients

Locations

2346 S Lynhurst Dr
Ste E109
Indianapolis, IN 46241

2346 S Lynhurst Dr
Ste D201
Indianapolis, IN 46241
Phone (317) 688-8160

2346 S Lynhurst Dr
Ste E107
Indianapolis, IN 46241
Phone (317) 688-8061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDIDD/Endpoint/EGDIDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1487355921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 S LYNHURST DR STE E107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415169",
            "telephone_number": "317-480-0415",
            "fax_number": "317-688-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 S LYNHURST DR STE E107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415169",
            "telephone_number": "317-688-8061",
            "fax_number": "317-688-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "DUANESHA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28230540A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.