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DR. ANN ELIZABETH POTTER PHD
NPI 1063491413
Psychologist - Clinical in Omaha, NE

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
12822 AUGUSTA AVENUE, OMAHA, NE 68144(402) 403-0190(402) 932-4121 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Ann Elizabeth Potter Phd NPPES

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

DR. ANN ELIZABETH POTTER PHD (NPI 1063491413) is an individual clinical provider in Omaha, Nebraska, licensed in Nebraska (279) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1063491413
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANN ELIZABETH POTTERCredential: PHD
Location Address12822 AUGUSTA AVENUEOmaha, NE 68144
Mailing Address12822 Augusta AvenueOmaha, NE 68144 · (402) 403-0190 · Fax (402) 932-4121
Phone(402) 403-0190
Fax(402) 932-4121
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 13, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1063491413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NE · 279
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12822 AUGUSTA AVENUE, Omaha, NE 68144
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Other Identifiers 5

Other08382NE · Bc/bs
Medicare PIN263662
Other600509097Megellan
Medicare UPINR29978
Other08382NE · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Ann Elizabeth Potter Phd 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 ID4284536749
PECOS Enrollment IDI20040123001014
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES

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

JANICE SMIGELSKY MS PLMHP
Social Worker
12822 AUGUSTA AVENUE
OMAHA, NE 68144
Douglas County (402) 216-0561

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 Ann Potter's NPI number?

The NPI number for Ann Potter is 1063491413. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Ann Potter located?

Ann Potter practices at 12822 Augusta Avenue, Omaha, NE 68144. The listed phone number is (402) 403-0190.

What is Ann Potter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ann Potter enrolled in Medicare?

Yes. Ann 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.

What insurance does Ann Potter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Ann Potter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ann Potter was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.