Active NPI
Stacy E Potts, M.D.
- Family Medicine Physician
- Barre, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204106
- Practice address
- 151 Worcester Rd
Barre, MA 01005-9002 - Phone
- (978) 355-6321
- NPI assigned
- Nov 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204106 | MA | Primary |
Addresses
Primary practice location
151 Worcester Rd
Barre, MA 01005-9002
Mailing address
PO Box 415348
Boston, MA 02241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136735 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spotts23546@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000785 | MA | Practitioner - Family Practice | 9335150127 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204106 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Past | Accepting new patients |
Locations
151 Worcester Rd
Barre, MA 01005
Phone (978) 355-6321
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
26 Queen St
Worcester, MA 01610
Phone (508) 860-7700
Interoperability endpoints
- spotts23546@umassmemorial.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Family Medicine, MA
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
Hospital
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
Hospital
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000
151 Worcester Rd
Barre, MA 01005-9002
Phone (978) 355-6321
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Vna Care Network
- Umass Memorial Medical Center/University Campus
- Umass Memorial Healthalliance Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1639152309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "02241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 WORCESTER RD",
"city": "BARRE",
"state": "MA",
"postal_code": "010059002",
"telephone_number": "978-355-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "STACY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-27",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "204106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136735",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spotts23546@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "151 Worcester Rd",
"city": "Barre",
"state": "MA",
"country_code": "US",
"postal_code": "010059002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "151 Worcester Rd",
"city": "Barre",
"state": "MA",
"country_code": "US",
"postal_code": "010059002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barre, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.