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MRS. SPARKLE MAHOGANY POTTER CRNA
NPI 1033508213
Nurse Anesthetist, Certified Registered in Newport News, VA

Active since January 12, 2015Accepts Medicare Assignment
860 OMNI BLVD STE 104, NEWPORT NEWS, VA 23606(757) 659-6285 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Apr 1, 2025, Mar 15, 2023 and 1 more (4 updates tracked since 2016).

About Mrs. Sparkle Mahogany Potter Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SPARKLE MAHOGANY POTTER CRNA (NPI 1033508213) is an individual nurse anesthetist, certified registered in Newport News, Virginia, licensed in Virginia (0024182190) and active in the NPI registry since January 2015. She is affiliated with Mary Immaculate Hospital, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033508213
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. SPARKLE MAHOGANY POTTERCredential: CRNA
Location Address860 OMNI BLVD STE 104Newport News, VA 23606-4430
Mailing Address860 Omni Blvd Ste 104Newport News, VA 23606-4430
Phone(757) 659-6285
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 12, 2015
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1033508213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VA · 0024182190
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
860 OMNI BLVD STE 104, Newport News, VA 23606
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Sparkle Mahogany Graham Crna

Secondary Practice Locations 3

Location 13000 Coliseum DrHampton, VA 23666-5963 · Phone (757) 736-1000
Location 22 Bernardine DrNewport News, VA 23602-4404 · Phone (757) 886-6000
Location 377 Nealy AveLangley AFB, VA 23665-2040 · Phone (757) 764-6015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sparkle Mahogany Potter Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406231760
PECOS Enrollment IDI20220922002107

Medicare Billing Reassignments

6

Medicare enrollment records show Sparkle Potter reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tidewater Physicians Multispecialty Group PC
Same address
Family Medicine
860 OMNI BLVD STE 401
Newport News, VA 23606
  • Reassigned Medicare billing, Virginia enrollment
  • 351 clinicians in this Medicare group
NPI 1902848294 (757) 232-8764
Virginia Anesthesia And Perioperative Care Specialists LLC
0.7 mi
Anesthesiology
760 MCGUIRE PL STE B
Newport News, VA 23601
  • Reassigned Medicare billing, Virginia enrollment
  • 100 clinicians in this Medicare group
NPI 1760417281 (757) 591-2260
Capital Digestive Care ,llc
15 mi
Gastroenterology
5839 HARBOUR VIEW BLVD, SUITE 200
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 189 clinicians in this Medicare group
NPI 1760541460 (757) 483-6100
Smg Anesthesia Specialists LLC
30 mi
Anesthesiology
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
  • Reassigned Medicare billing, Virginia enrollment
  • 707 clinicians in this Medicare group
NPI 1518205004 (757) 507-1000
Northstar Anesthesia Of Virginia, LLC
119 mi
Anesthesiology
2501 PARKERS LN
Alexandria, VA 22306
  • Reassigned Medicare billing, Virginia enrollment
  • 631 clinicians in this Medicare group
NPI 1194488791 (214) 687-0497
American Anesthesiology Of Virginia PC
129 mi
Anesthesiology
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,217 clinicians in this Medicare group
NPI 1417994872 (037) 764-0017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
19 services19 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN MABIS
Nurse Anesthetist, Certified Registered
860 OMNI BLVD STE 104
NEWPORT NEWS, VA 23606
Newport News City (757) 659-6285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparkle Potter's NPI number?

The NPI number for Sparkle Potter is 1033508213. It was assigned to this individual provider in the NPPES registry on January 12, 2015. The provider is also known as Ms. Sparkle Mahogany Graham Crna.

Where is Sparkle Potter located?

Sparkle Potter practices at 860 Omni Blvd Ste 104, Newport News, VA 23606. The listed phone number is (757) 659-6285.

What is Sparkle Potter's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sparkle Potter enrolled in Medicare?

Yes. Sparkle Potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sparkle Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sparkle Potter reassigns Medicare benefits to 6 organizations: Tidewater Physicians Multispecialty Group PC (Newport News, VA), Virginia Anesthesia And Perioperative Care Specialists LLC (Newport News, VA), Capital Digestive Care ,llc (Suffolk, VA), Smg Anesthesia Specialists LLC (Virginia Beach, VA), Northstar Anesthesia Of Virginia, LLC (Alexandria, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sparkle Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sparkle Potter affiliated with any hospitals?

According to CMS data, Sparkle Potter is affiliated with Mary Immaculate Hospital.

When was this NPI record last updated?

The NPPES record for Sparkle Potter was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.