MS. MEGAN ELIZABETH POTTS MSN, APRN, FNP-C
NPI 1275189888
Nurse Practitioner in Erlanger, KY

Q: What is Megan Potts's NPI number?

The NPI number for Megan Potts is 1275189888. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Q: What is Megan Potts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Potts was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 11, 2019PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

820 DOLWICK DR, ERLANGER, KY 41018(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2020, May 12, 2020, Jan 2, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Ms. Megan Elizabeth Potts Msn, Aprn, Fnp-c NPPES

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

MS. MEGAN ELIZABETH POTTS MSN, APRN, FNP-C (NPI 1275189888) is an individual nurse practitioner in Erlanger, Kentucky, licensed in Kentucky (3013578) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275189888

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. MEGAN ELIZABETH POTTSCredential: MSN, APRN, FNP-C

Location Address820 DOLWICK DRErlanger, KY 41018-2774

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940

Phone(859) 301-5901

Fax(859) 301-5940

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 11, 2019

Last NPPES UpdateJune 30, 20204 updates tracked since enumeration

NPPES CertifiedJune 30, 2020

✔ NPI 1275189888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3013578

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.025420 (OH), 3013578 (KY)

820 DOLWICK DR, Erlanger, KY 41018

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Accepted Insurance

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

Ms. Megan Elizabeth Potts Msn, Aprn, 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 ID5092141770

PECOS Enrollment IDI20200129001985

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

77 services46 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

71 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41018 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 15

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

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