Individual provider Active NPI

Mertie Lorraine Potter, DNP, ARNP, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1841469863
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
018534-23 Issued in NH
Practice address
39 Simon St Ste 3a
Nashua, NH 03060-3046
Phone
(603) 888-4347
Fax
(035) 779-1576
NPI assigned
Feb 23, 2008
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 018534-23 NH Primary

Addresses

Primary practice location

39 Simon St Ste 3a
Nashua, NH 03060-3046

Mailing address

39 Simon St Ste 3a
Nashua, NH 03060-3046
Phone (603) 888-4347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000567 NH Practitioner - Nurse Practitioner 3779746201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Counseling AssociationGroup PAC ID 1557325172, 11 clinicians

Practice addresses (Care Compare)

39 Simon St
Suite 2a
Nashua, NH 03060-3046
Phone (603) 888-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018534-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Counseling Association Psychiatric/Mental Health CurrentSince Mar 6, 2012 Accepting new patients

Locations

39 Simon St
Ste 2
Nashua, NH 03060

39 Simon St
Ste 2A
Nashua, NH 03060
Phone (603) 888-4347

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1841469863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-888-4347",
            "fax_number": "035-779-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-888-4347",
            "fax_number": "035-779-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MERTIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "018534-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.