Active NPI
Matthew G Potter, APRN
- Nurse Practitioner
- Prestonsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011184
- Practice address
- 723 S Lake Dr
Prestonsburg, KY 41653-1340 - Phone
- (606) 886-8175
- Fax
- (606) 430-7014
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3011184 | KY | Primary |
Addresses
Primary practice location
723 S Lake Dr
Prestonsburg, KY 41653-1340
Mailing address
723 S Lake Dr
Prestonsburg, KY 41653-1340
Phone (606) 886-8175
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpotter21688@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
238 Cassidy Blvd
Pikeville, KY 41501-1426
Phone (606) 430-2230
723 S Lake Dr
Prestonsburg, KY 41653-1340
Phone (606) 886-8175
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011184 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc. | Nurse Practitioner | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Nurse Practitioner | Current | Accepting new patients |
| Hilltop Primary Care, Inc | Nurse Practitioner | Current | Accepting new patients |
| Hilltop Primary Care, Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
7617 Upper Johns Creek Rd
Phelps, KY 41553
Phone (606) 835-9333
238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225
Interoperability endpoints
- mpotter21688@pikevillekydirect.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
Nurse Practitioner
-
- Community/Retail Pharmacy
- Phelps, KY
- NPI 1306675053
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1578004305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 S LAKE DR",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531340",
"telephone_number": "606-886-8175",
"fax_number": "606-430-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 S LAKE DR",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531340",
"telephone_number": "606-886-8175",
"fax_number": "606-430-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "MATTHEW",
"middle_name": "G",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011184",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpotter21688@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct Address for CCDA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.