NPIMap

Individual provider Active NPI

Vanessa M Potter, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1811213150
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1490 Issued in NE
Practice address
18210 Wright St
Omaha, NE 68130-2883
Phone
(531) 999-1813
Fax
(531) 999-2712
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1490 NE Primary

Addresses

Primary practice location

18210 Wright St
Omaha, NE 68130-2883

Mailing address

18210 Wright St
Omaha, NE 68130-2883
Phone (531) 999-1813

Other practice location 1

309 S 35th St Ste B
York, NE 68467-4539
Phone (402) 745-1800

Other identifiers 1

IdentifierTypeStateIssuer
1490OtherNENE STATE LICENSE

Other names 1

  • Vanessa M Tiell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000523 NE Practitioner - Physician Assistant 7810026085 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Harlan Medical LLCGroup PAC ID 8628206034, 11 clinicians
Hydr8 LLCGroup PAC ID 1456726884, 18 clinicians
York Quick ClinicGroup PAC ID 2062820905, 4 clinicians
York General HospitalGroup PAC ID 9234021080, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

1307 Harlan Dr
Bellevue, NE 68005-3699
Phone (402) 291-8701

18210 Wright St
Omaha, NE 68130-2883
Phone (531) 999-1813

309 S 35TH St
York, NE 68467-4538
Phone 40236255556159

309 S 35TH St
Suite B
York, NE 68467-4539
Phone (402) 745-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002085IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
York General Hospital CurrentSince Aug 2, 2025 Accepting new patients
Bellevue Urgent Care LP Current Accepting new patients
York General Hospital CurrentSince Aug 1, 2025 Accepting new patients
York General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Urgent Care Group LLC Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Village Pointe Pediatrics, PC Past Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

2114 N Lincoln Ave
Ste A
York, NE 68467
Phone (402) 362-5044

309 S 35th St
Ste B
York, NE 68467
Phone (402) 745-1800

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1811213150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302883",
            "telephone_number": "531-999-1813",
            "fax_number": "531-999-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302883",
            "telephone_number": "531-999-1813",
            "fax_number": "531-999-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 S 35th St Ste B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684674539",
            "country_code": "US",
            "telephone_number": "402-745-1800",
            "fax_number": "402-745-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE STATE LICENSE",
            "identifier": "1490",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "TIELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.