Active NPI
Natalie Lynn Potrament, NP
- Family Nurse Practitioner
- Spencer, IA
National Provider Identifier
1750396404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-091009
- Practice address
- 116 E 11TH St
Suite 101
Spencer, IA 51301-4364 - Phone
- (712) 264-3500
- Fax
- (712) 264-3535
- NPI assigned
- Jul 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 105928 | MO | |
| Nurse Practitioner | 363L00000X | CP000498 | SD | |
| Family Nurse Practitioner | 363LF0000X | A-091009 | IA | Primary |
Addresses
Primary practice location
116 E 11TH St
Suite 101
Spencer, IA 51301-4364
Mailing address
116 E 11TH St
Suite 101
Spencer, IA 51301-4364
Phone (712) 264-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750396404 | Medicaid | IA | |
| 428765309 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Hwy 71
Spirit Lake, IA 51360-1184
2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230
Hospital & facility affiliations
- Lakes Regional Healthcare
- Avera Holy Family Hospital
- Spencer Municipal Hospital
- Avera McKennan Hospital & University Health Center
- Avera Heart Hospital of South Dakota
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105928 | MO | MD | Family Medicine Physician |
| A-091009 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Regional Healthcare | Current | Accepting new patients | |
| Lakes Regional Healthcare | Past | Accepting new patients | |
| Merlin D Brown MD PC | Past | Accepting new patients |
Locations
2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750
2301 Highway 71
Ste C
Spirit Lake, IA 51360
Phone (712) 330-3750
Interoperability endpoints
- natalie.potrament@avera.sdhealthlink.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.
-
- Emergency Medicine Physician
- Spirit Lake, IA
- NPI 1336291160
-
- Family Medicine Physician
- Spirit Lake, IA
- NPI 1922106202
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1194847830
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Estherville, IA
- NPI 1508810177
-
- General Acute Care Hospital
- Spirit Lake, IA
- NPI 1508862012
-
- Rural Acute Care Hospital
- Spencer, IA
- NPI 1255328621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1750396404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E 11TH ST",
"address_2": "SUITE 101",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014364",
"telephone_number": "712-264-3500",
"fax_number": "712-264-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E 11TH ST",
"address_2": "SUITE 101",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014364",
"telephone_number": "712-264-3500",
"fax_number": "712-264-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTRAMENT",
"first_name": "NATALIE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "105928",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP000498",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-091009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750396404",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428765309",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.