Joan A Potter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Practice address

303 NW 11TH St
Fairfield, IL 62837-1203

Phone

(618) 842-2611

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Regional Health CenterGroup PAC ID 1658272059, 155 clinicians

Anesthesia Associates of Southern Illinois Surgery Center LLCGroup PAC ID 0648555433, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Associates of Southern Illinois Surgery Center LLC

  • Anesthesiology Physician
  • Mount Vernon, IL
  • NPI 1043757487

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1487758801
  Medicare reassignment Care Compare group
• Ambulatory Surgery Center of Centralia, LLC

  dba The Surgery Center of Centralia

  • Clinic/Center
  • Centralia, IL
  • NPI 1265495824
  Medicare reassignment NPD
• County of Clay

  dba Clay County Hospital

  • Critical Access Hospital
  • Flora, IL
  • NPI 1184655136
  Medicare reassignment NPD
• Marion Anesthesia Company LLC

  • Certified Registered Nurse Anesthetist
  • Marion, IL
  • NPI 1790721579

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St. Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • Emergency Medicine Physician
  • Centralia, IL
  • NPI 1770687196
  Medicare reassignment NPD
• Ambulatory Surgery Center of Centralia, LLC

  dba Surgery Center of Centralia

  • Ambulatory Surgical Clinic/Center
  • Centralia, IL
  • NPI 1811957251
  NPD
• County of Clay

  dba CCH Pharmacy

  • Community/Retail Pharmacy
  • Flora, IL
  • NPI 1235990276
  NPD
• County of Clay

  dba CCH Medical Clinic

  • Rural Health Clinic/Center
  • Flora, IL
  • NPI 1811946411
  NPD
• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • Anesthesiology Physician
  • Mount Vernon, IL
  • NPI 1194269597
  NPD
• St. Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Centralia, IL
  • NPI 1710105192
  NPD
• Figueroa and Associates Anesthesia Group, LTD.

  • Specialist
  • Alton, IL
  • NPI 1831198357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841380508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 658",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628379568",
            "telephone_number": "618-847-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371203",
            "telephone_number": "618-842-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JOAN",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OT Playworks Inc.
• Paul B Stauder
• Penny Attaway (Medical Services Unlimited)
• Irina Podolsky
• Priscilla Poore
• Potts Family LLC (Potts Family Pharmacy)
• Edwin Ray Potts, RPH
• Stephen Dean Potts, PHARMD
• Deseree Daun Price
• Stacey L. Puntney, LPN

• Certified Registered Nurse Anesthetist in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.