Kaci Lynn Potter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN01417 Issued in RI

Practice address

186 Providence St
West Warwick, RI 02893-2508

Phone

(401) 615-2800

Fax

(401) 615-2805

NPI assigned

Jul 20, 2016

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 RI

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thundermist Health CenterGroup PAC ID 1557270477, 161 clinicians

Novella Healthcare Services PLLCGroup PAC ID 5698211456, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaci.belancik@thundermist.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

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.

• Novella Healthcare Services PLLC

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1619724481
  Medicare reassignment Care Compare group NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Wakefield, RI
  • NPI 1700041001
  Medicare reassignment Care Compare group NPD
• Atmed Treatment Center, Inc.

  • Internal Medicine Physician
  • Johnston, RI
  • NPI 1558490151
  Medicare reassignment NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Narragansett, RI
  • NPI 1265190292
  NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • West Warwick, RI
  • NPI 1376708560
  NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Woonsocket, RI
  • NPI 1588691620
  NPD (past)
• Novella Medicine Services of Massachusetts, PLLC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1689316283
  NPD (past)

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

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1881047207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PROVIDENCE ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932508",
            "telephone_number": "401-615-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PROVIDENCE ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932508",
            "telephone_number": "401-615-2800",
            "fax_number": "401-615-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KACI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Plucinski, PMHNP
• Paige Plumb
• Victoria Ann Porrino, MA
• Jermaine Porter, LICSW
• Michael T Poshkus, MD
• Laura Powers
• Marylin Michelle Powers, DO
• Preferred Therapy Services, LLC
• Primary & Psychiatric Integrated Care
• Amy Marie Prior, MHC

• Family Nurse Practitioner in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.

Verify at the official NPI Registry.