Individual provider Active NPI

Matthew G Potter, APRN

  • Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1578004305
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011184 Issued in KY
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418002834 KY Practitioner - Nurse Practitioner 0941586366 Reassigns benefits to 2 organizations

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
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Hilltop Primary Care IncGroup PAC ID 8628969847, 8 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
3011184KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. Nurse Practitioner CurrentSince Apr 3, 2017 Accepting new patients
Pikeville Medical Center Inc CurrentSince Apr 3, 2017 Accepting new patients
Pikeville Medical Center Inc. Nurse Practitioner Current Accepting new patients
Hilltop Primary Care, Inc Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Hilltop Primary Care, Inc CurrentSince Dec 16, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.