Active NPI
Janette Potter, ARNP
- Family Nurse Practitioner
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9362936
- Practice address
- 4005 Sun N Lake Blvd
Sebring, FL 33872-2130 - Phone
- (863) 385-1400
- NPI assigned
- Nov 7, 2017
- 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 | ARNP9362936 | FL | Primary |
Addresses
Primary practice location
4005 Sun N Lake Blvd
Sebring, FL 33872-2130
Mailing address
1520 Buck St
Lake Placid, FL 33852-9469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180129001033 | FL | Practitioner - Nurse Practitioner | 4981964624 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9362936 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| Tampa Bay Emergency Physicians-Heartland LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Past | Accepting new patients | |
| Adventhealth Home Health and Hospice, Inc. | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111
Organizations & group practices 8
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
- Sebring, FL
- NPI 1043661408
FL
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Destin, FL
- NPI 1730623034
-
- Home Health Agency
- Sebring, FL
- NPI 1508801929
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1831602259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 BUCK ST",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722130",
"telephone_number": "863-385-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "JANETTE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9362936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.