Active NPI
Kara L Potts, NP
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024177809
- Practice address
- 435 Merchant Walk SQ Ste 400
Charlottesville, VA 22902-6516 - Phone
- (434) 654-1800
- Fax
- (844) 883-6065
- NPI assigned
- Aug 21, 2019
- 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 Nurse Practitioner | 363LF0000X | 0024177809 | VA | Primary |
Addresses
Primary practice location
435 Merchant Walk SQ Ste 400
Charlottesville, VA 22902-6516
Mailing address
PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794
Other practice location 1
958 Sutton Ct
Charlottesville, VA 22901-3757
Phone (814) 389-2480
Other names 1
- Kara Lynn Jacobs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kljacobs@sentara.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA, DE, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594
260 Maple Ave
Rockville Centre, NY 11570-4368
Phone (888) 982-8594
410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Lifesong Hospice and Palliative Care
- Penn State Health Holy Spirit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177809 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Telehealth, LLC | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Current | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
4175 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 283-0540
200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970
150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 280-8811
260 Maple Ave
Rockville Centre, NY 11570
Phone (516) 280-8811
435 Merchant Walk Sq
Ste 400
Charlottesville, VA 22902
Phone (434) 654-1800
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
760 Town Center Dr
Ste 760A
Waynesboro, VA 22980
Phone (540) 941-2400
Interoperability endpoints
- kjacobs254226@direct.sentara.net
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.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, PA
- NPI 1649523168
-
- Home Health Agency
- Harrisburg, PA
- NPI 1699713503
-
- Home Health Agency
- Lemoyne, PA
- NPI 1710282777
-
- Community Based Hospice Care Agency
- Harrisburg, PA
- NPI 1164907143
-
- Community Based Hospice Care Agency
- Allentown, PA
- NPI 1316530934
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1659928083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79777",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790777",
"telephone_number": "434-654-7794",
"fax_number": "844-831-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 MERCHANT WALK SQ STE 400",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026516",
"telephone_number": "434-654-1800",
"fax_number": "844-883-6065"
}
],
"practiceLocations": [
{
"address_1": "958 Sutton Ct",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229013757",
"country_code": "US",
"telephone_number": "814-389-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTS",
"first_name": "KARA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177809",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kljacobs@sentara.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "958 Sutton Ct",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229013757",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KARA",
"last_name": "JACOBS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.