Individual provider Active NPI

Jason R Potts, CRNP

  • Family Nurse Practitioner
  • Pen Argyl, PA
National Provider Identifier
1861559387
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009273 Issued in PA
Practice address
1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072-1815
Phone
(610) 654-1230
Fax
(610) 654-1232
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009273 PA Primary

Addresses

Primary practice location

1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072-1815

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071018000309 PA Practitioner - Nurse Practitioner 7911093232 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009273PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Mar 13, 2007 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Nov 17, 2014 Accepting new patients
St. Luke's Hospital CurrentSince Oct 20, 2014 Accepting new patients
St. Luke's Hospital Current Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Aug 1, 2013 Accepting new patients
Aria Health Physician Services CurrentSince Mar 13, 2007 Accepting new patients
St. Luke's Quakertown Hospital Current Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Aug 1, 2013 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 4, 2013 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Nov 17, 2014 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 4, 2013 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 6, 2024 Accepting new patients
St. Luke's Hospital - Anderson Campus CurrentSince Oct 20, 2014 Accepting new patients
St Luke's Hospital CurrentSince Oct 20, 2014 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Apr 1, 2019 Accepting new patients
Pennsylvania Physician Services, LLC Current Accepting new patients
Grand View Emergency Specialists, LLC CurrentSince Feb 1, 2022 Accepting new patients
St. Luke's Hosptial CurrentSince Oct 20, 2014 Accepting new patients
New Jersey/Pennsylvania Em-I Medical Services, P.C. Past Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3371 Route 100
Macungie, PA 18062
Phone (610) 336-8277

1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072
Phone (610) 654-1230

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 27

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 27

Hospital & facility affiliations 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1861559387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 BLUE VALLEY DR",
            "address_2": "STE 8",
            "city": "PEN ARGYL",
            "state": "PA",
            "postal_code": "180721815",
            "telephone_number": "610-654-1230",
            "fax_number": "610-654-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pen Argyl, PA

Sources for this page

Verify at the official NPI Registry.