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CORRINE POTTER PMH-NP
NPI 1255880175
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since October 04, 2016PECOS Enrolled
19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Corrine Potter Pmh-np NPPES

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

CORRINE POTTER PMH-NP (NPI 1255880175) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2266298) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255880175
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCORRINE POTTERCredential: PMH-NP
Location Address19 TACOMA STWorcester, MA 01605-3516
Mailing Address650 Lincoln StWorcester, MA 01605-2060
Phone(508) 852-1805
Sole ProprietorNo
Enumeration DateOctober 4, 2016
Last NPPES UpdateMarch 21, 2018
✔ NPI 1255880175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2266298
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
19 TACOMA ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corrine Potter Pmh-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Corrine Potter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward M. Kennedy Community Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
19 TACOMA ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 147 clinicians in this Medicare group
NPI 1609842152 (508) 852-1805
Supportive Behavioral Care Of Ma LLC
27 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375
Grow Healthcare Group PA
1,236 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and New Hampshire enrollments
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

ANNE WALTON
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
STEFANIA M PERALTA RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
BETHANY IRISH RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Pharmacy (Clinic Pharmacy)
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 854-2128
MERCEDES DINORAH LOPEZ LPN
Licensed Practical Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
DR. DANA DELDOTTO PHARMD
Pharmacist
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 595-1181
NICHOLAS ADAM YOAKUM PA-C
Physician Assistant
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
KAITLIN SOUTHERN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805

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 Corrine Potter's NPI number?

The NPI number for Corrine Potter is 1255880175. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Corrine Potter located?

Corrine Potter practices at 19 Tacoma St, Worcester, MA 01605. The listed phone number is (508) 852-1805.

What is Corrine Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Corrine Potter enrolled in Medicare?

Yes. Corrine Potter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Corrine Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corrine Potter reassigns Medicare benefits to 3 organizations: Edward M. Kennedy Community Health Center, Inc (Worcester, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corrine Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corrine Potter accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Corrine 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 Corrine Potter was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.