MRS. JENNIFER POTTER NP
NPI 1053042689
Nurse Practitioner - Critical Care Medicine in Goldsboro, NC

Q: What is Jennifer Potter's NPI number?

The NPI number for Jennifer Potter is 1053042689. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Jennifer Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Potter was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment

2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 736-1110 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Jennifer Potter Np NPPES

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

MRS. JENNIFER POTTER NP (NPI 1053042689) is an individual critical care medicine provider in Goldsboro, North Carolina, licensed in North Carolina (5016417) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053042689

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameMRS. JENNIFER POTTERCredential: NP

Location Address2700 WAYNE MEMORIAL DRGoldsboro, NC 27534-9494

Mailing Address214 Bland Howell RdKinston, NC 28504-7499 · (252) 560-1991

Phone(919) 736-1110

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1053042689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in NC · 5016417

2700 WAYNE MEMORIAL DR, Goldsboro, NC 27534

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Potter Np 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 ID5799152294

PECOS Enrollment IDI20221111001083

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340010

Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County

Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340027

Location100 Airport RdKinston, NC 28501 · Lenoir County

Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

SUMMER GRAHAM CARR FNP

Nurse Practitioner (Family)