Individual provider Active NPI

Tara Potts

  • Certified Registered Nurse Anesthetist
  • Cherry Hill, NJ
National Provider Identifier
1851872196
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00862400 Issued in NJ
Practice address
120 Warfield Rd
Cherry Hill, NJ 08034-3318
Phone
(215) 872-9341
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 28NR18485100 NJ
Certified Registered Nurse Anesthetist 367500000X 26NJ00862400 NJ Primary

Addresses

Primary practice location

120 Warfield Rd
Cherry Hill, NJ 08034-3318

Mailing address

120 Warfield Rd
Cherry Hill, NJ 08034-3318
Phone (215) 872-9341

Other practice location 1

100 Bowman Dr Fl 2
Voorhees, NJ 08043-9612
Phone (856) 988-6260

Other practice location 2

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 988-6260

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tpotts76302@directvirtua.org
Direct Messaging Address tpotts76302@directvirtua.org
Direct Messaging Address tpotts76302@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213000653 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971848318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

3242 Route 206
Bordentown, NJ 08505-4517

502 Centennial Blvd
Suite 1
Voorhees, NJ 08043-9544
Phone (732) 264-1127

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28NR18485100NJMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 3, 2023 Accepting new patients
West Jersey Anesthesia Associate PA CurrentSince Nov 1, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 3, 2023 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

100 Bowman Dr
Fl 2
Voorhees, NJ 08043
Phone (856) 247-3000

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

Interoperability endpoints

  • Direct secure messaging: tpotts76302@directvirtua.org

Organizations & group practices 5

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1851872196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WARFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343318",
            "telephone_number": "215-872-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WARFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343318",
            "telephone_number": "215-872-9341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bowman Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-988-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-988-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "28NR18485100",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00862400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpotts76302@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste D160",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpotts76302@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpotts76302@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.