Patricia Potts, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014035644 Issued in MO

Practice address

409 W Auberry GRV
Jamesport, MO 64648-7189

Phone

(660) 684-6252

Fax

(660) 684-6254

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  NPD
• Cameron Regional Medical Center, Inc.

  dba King City Family Health

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD
• Cameron Regional Medical Center Inc

  dba Jamesport Outreach Clinic

  • Rural Health Clinic/Center
  • Jamesport, MO
  • NPI 1740294040
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1962807388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W AUBERRY GRV",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "646487189",
            "telephone_number": "660-684-6252",
            "fax_number": "660-684-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014035644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelle Lawson, FNP-C
• Terry Eugene Lienhop, DO
• Madonna Maurer
• Judith Louise Oday, MA LPC
• James William Orourke Jr., DC
• RDK Family Care LLC
• Saint Luke's Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Saint Lukes Hospital of Trenton (Wright Memorial Jamesport Clinic)
• Tri-County R-VII
• Tucker Chiropractic Center

• Family Nurse Practitioner in Jamesport, MO
• Providers in Jamesport, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.