Individual provider Active NPI

Lynn Potter, APRN

  • Family Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1891544623
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029788 Issued in IL
Practice address
1000 Health Center Dr Ste 106
Mattoon, IL 61938-4609
Phone
(217) 238-4495
Fax
(217) 238-3741
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.461897 IL
Family Nurse Practitioner 363LF0000X 209.029788 IL Primary

Addresses

Primary practice location

1000 Health Center Dr Ste 106
Mattoon, IL 61938-4609

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

901 Medical Park Dr Ste 200
Effingham, IL 62401-2191
Phone (217) 347-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240705000924 IL Practitioner - Nurse Practitioner 9133663800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Suite 106
Mattoon, IL 61938-4609
Phone (217) 238-4495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.461897ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jun 24, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 24, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

901 Medical Park Dr
Ste 200
Effingham, IL 62401
Phone (217) 342-4444

1303 W Evergreen Ave
Ste 201
Effingham, IL 62401
Phone (217) 347-1422

1000 Health Center Dr
Ste 106
Mattoon, IL 61938
Phone (217) 238-4495

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Organizations & group practices 3

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 3

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1891544623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR STE 106",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384609",
            "telephone_number": "217-238-4495",
            "fax_number": "217-238-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012191",
            "country_code": "US",
            "telephone_number": "217-347-2332",
            "fax_number": "217-347-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.461897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.