Individual provider Active NPI

Carla Pottmeyer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1790355154
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0029113 Issued in OH
Practice address
1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone
(740) 538-5405
Fax
(740) 212-8308
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111098 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0029113 OH Primary

Addresses

Primary practice location

1085 Joe Skinner Rd
Belpre, OH 45714-9488

Mailing address

1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone (740) 538-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210826003554 OH Practitioner - Nurse Practitioner 3173928215 Reassigns benefits to 4 organizations
I20250930000619 WV Practitioner - Nurse Practitioner 3173928215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River City Psychiatry LLCGroup PAC ID 6709234438, 7 clinicians

Practice addresses (Care Compare)

1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone (740) 371-4676

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0029113OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River City Psychiatry, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Comprehensive Psychological Services, LTD. CurrentSince Sep 1, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

1085 Joe Skinner Rd
Belpre, OH 45714
Phone (740) 371-4676

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

170 Pinecrest Dr
Gallipolis, OH 45631
Phone (740) 441-8313

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

Organizations & group practices 4

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1790355154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 JOE SKINNER RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457149488",
            "telephone_number": "740-538-5405",
            "fax_number": "740-212-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 JOE SKINNER RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457149488",
            "telephone_number": "740-538-5405",
            "fax_number": "740-212-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTMEYER",
        "first_name": "CARLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "111098",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0029113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.