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

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: August 09, 2026.

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

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
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

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

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

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.

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.

Urology
1507 W MAIN ST
GATESVILLE, TX 76528
Surgery
1507 W MAIN ST
GATESVILLE, TX 76528
Anesthesiology (Pain Medicine)
1507 W MAIN ST
GATESVILLE, TX 76528
Orthopaedic Surgery
1507 W MAIN ST
GATESVILLE, TX 76528
Family Medicine
1507 W MAIN ST
GATESVILLE, TX 76528
Emergency Medicine
1507 W MAIN ST
GATESVILLE, TX 76528
Surgery
1507 W MAIN ST
GATESVILLE, TX 76528
Nurse Practitioner (Family)
1507 W MAIN ST
GATESVILLE, TX 76528

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 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.

Where is Daryl Potter located?

Daryl Potter practices at 1507 W Main St, Gatesville, TX 76528. The listed phone number is (254) 865-2166.

What is Daryl Potter's specialty?

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

Is Daryl Potter enrolled in Medicare?

Yes. Daryl 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 Daryl Potter accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Daryl 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.

Is Daryl Potter affiliated with any hospitals?

According to CMS data, Daryl Potter is affiliated with Ascension Providence and Coryell Memorial Hospital.

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 20 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.