DARYL K POTTER FNP-C
NPI 1124442199
Nurse Practitioner - Family in Gatesville, TX

Q: What is Daryl Potter's NPI number?

The NPI number for Daryl Potter is 1124442199. It was assigned to this individual provider in the NPPES registry on February 12, 2014.

Q: What is Daryl Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Daryl Potter was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since February 12, 2014PECOS EnrolledAccepts Medicare Assignment

1507 W MAIN ST, GATESVILLE, TX 76528(254) 865-2166(254) 248-0626 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2024, Apr 29, 2024, Apr 13, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Daryl K Potter Fnp-c NPPES

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

DARYL K POTTER FNP-C (NPI 1124442199) is an individual family provider in Gatesville, Texas, licensed in Texas (1028685) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124442199

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDARYL K POTTERCredential: FNP-C

Location Address1507 W MAIN STGatesville, TX 76528-1024

Mailing Address1507 W Main StGatesville, TX 76528-1024 · (254) 865-2166 · Fax (254) 248-0626

Phone(254) 865-2166

Fax(254) 248-0626

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 12, 2014

Last NPPES UpdateNovember 25, 20244 updates tracked since enumeration

NPPES CertifiedNovember 25, 2024

✔ NPI 1124442199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TX · 1028685✔ Licensed in AZ · AP5387

1507 W MAIN ST, Gatesville, TX 76528

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15100 Franklin AveWaco, TX 76710-6922 · Phone (254) 865-2166 · Fax (254) 248-6306

Location 2215 N Main StMcGregor, TX 76657-1236 · Phone (254) 865-2166 · Fax (254) 248-6306

Location 3404 Avenue EMoody, TX 76557-3579 · Phone (254) 853-9603 · Fax (254) 853-9612

Other Identifiers 1

Medicaid898460AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Daryl K Potter Fnp-c 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 ID143443259

PECOS Enrollment IDI20140519000616, I20210203000739

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.

Medicare Billing Reassignment

Medicare enrollment records show Daryl Potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coryell County Memorial Hospital Authority

Same address

Emergency Medicine

1507 WEST MAIN STREET
Gatesville, TX 76528

Reassigned Medicare billing, Texas enrollment
78 clinicians in this Medicare group

NPI 1528195062 (254) 865-8251

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

99 services65 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

25 services25 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451379

Location1507 W Main StreetGatesville, TX 76528 · Coryell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76528 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

DAVID MICHAEL PINKSTAFF MD

Urology