MEGAN MARIE POTTER CNP
NPI 1184469215
Nurse Practitioner - Family in Spearfish, SD

Q: What is Megan Potter's NPI number?

The NPI number for Megan Potter is 1184469215. It was assigned to this individual provider in the NPPES registry on June 29, 2024.

Q: What is Megan 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 Megan Potter was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 29, 2024PECOS Enrolled

1420 N 10TH ST, SPEARFISH, SD 57783(605) 717-8595 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Megan Marie Potter Cnp NPPES

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

MEGAN MARIE POTTER CNP (NPI 1184469215) is an individual family provider in Spearfish, South Dakota, licensed in South Dakota (CP003256) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184469215

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEGAN MARIE POTTERCredential: CNP

Location Address1420 N 10TH STSpearfish, SD 57783-1532

Mailing Address3306 S 11th AveSpearfish, SD 57783-9406 · (605) 460-1087

Phone(605) 717-8595

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 29, 2024

NPPES CertifiedJune 29, 2024

✔ NPI 1184469215 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

License✔ Licensed in SD · CP003256

1420 N 10TH ST, Spearfish, SD 57783

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan 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 (PECOS)

Megan Marie Potter Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305386012

PECOS Enrollment IDI20240909003816

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 Reassignments

Medicare enrollment records show Megan Potter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Network, Inc.

Same address

Multi-Specialty

1420 N 10TH ST
Spearfish, SD 57783

Reassigned Medicare billing, South Dakota enrollment
321 clinicians in this Medicare group

NPI 1578942496 (605) 717-8595

Rushmore Ob-Gyn PC

43 mi

Obstetrics & Gynecology

3006 TOWER RD
Rapid City, SD 57701

Reassigned Medicare billing, South Dakota enrollment
16 clinicians in this Medicare group

NPI 1316050214 (605) 343-7295

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

71 services69 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services29 patients

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.

25 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

MELISSA M BARDSLEY RD, CDE, CD

Dietitian, Registered