Chrystal Lynn Potter, M.D.
Individual provider Active NPI Internal Medicine Physician · Glendive, MT
NPI 1649433293 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1649433293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 33767 (MT)
- Practice address
- 107 Dilworth St
Glendive, MT 59330-2053 - Phone
- (406) 345-8901
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gabert Medical Services Inc
Glendive Medical Center Inc
Practice addresses (Care Compare)
107 Dilworth St
Glendive, MT 59330-2053
Phone (406) 345-8901
202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3306
202 Prospect Dr
Glendive, MT 59330-1999
Hospital & facility affiliations
- Glendive Medical Center
- Billings Clinic Hospital
- Sidney Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Glendive Medical Center Inc. |
Hospital | Corporate Director | Jan 1, 2016 |
| Glendive Medical Center Inc |
Hospital | Corporate Director | Jan 1, 2016 |
| Glendive Medical Center Nursing Home |
Skilled nursing facility | Corporate Director | Jan 1, 2016 |
| Glendive Medical Center Hospice |
Hospice | Corporate Director | Jan 1, 2016 |
| Gabert Clinic |
Rural health clinic | Corporate Director | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140902002078 | MT | Practitioner - Internal Medicine |
6800931809 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33767 | MT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendive Medical Center, Inc | Current |
Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current |
Accepting new patients | |
| Glendive Medical Center, Inc | Current |
Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Gabert Medical Services, Inc | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Glendive Medical Center, Inc | Past | Accepting new patients |
Locations
202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306
107 Dilworth St
Glendive, MT 59330
Phone (406) 345-8900
Interoperability endpoints
- cpotter@gmc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33767 | MT | Yes |
| Pediatrics Physician | 208000000X | 33767 | MT |
Addresses
Primary practice location
107 Dilworth St
Glendive, MT 59330-2053
Mailing address
107 Dilworth St
Glendive, MT 59330-2053
Phone (406) 345-8901
Other providers in Glendive, MT
- David L Nieman
- Teresea Olson
- Nena Panasuk
- Plains Synergy Healthcare PLLC
- Charlene Pontoriero
- Prairie View Special Services
- April Dawn Price
- Falecia Rader
- Ruthann Rafacz
- Shawn Patrick Regan
All providers in Glendive, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.