KENNETH K POTTS C.R.N.A.
NPI 1316960404
Nurse Anesthetist, Certified Registered in Mendota, IL

NPI Status: Active since July 26, 2006

Contact Information

1401 EAST 12TH STREET
MENDOTA, IL
ZIP 61342
Phone: (815) 539-7461
Fax: (815) 539-1461

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About KENNETH POTTS

This page provides the complete NPI Profile along with additional information for Kenneth Potts, a provider established in Mendota, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1316960404 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X with license number 041136641 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1316960404
Provider Name
KENNETH K POTTS C.R.N.A.
Gender
Male
Entity Type
Individual
Location Address
1401 EAST 12TH STREET MENDOTA, IL 61342
Location Phone
(815) 539-7461
Location Fax
(815) 539-1461
Mailing Address
1401 EAST 12TH STREET MENDOTA, IL 61342
Mailing Phone
(815) 539-7461
Mailing Fax
(815) 539-1461
Is Sole Proprietor?
No
Enumeration Date
07-26-2006
Last Update Date
12-30-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
041136641
License State
IL
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L61377MEDICARE ID-TYPE UNSPECIFIED (04) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 83 times for 74 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 18 times for 17 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 20 times for 20 patients

Anesthesia for other procedure on urinary system through urethra

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

This service was performed 12 times for 12 patients

Reviews for KENNETH K POTTS C.R.N.A.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316960404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 6 + 0 + 4 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316960404.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
1401 EAST 12TH STREET
MENDOTA, IL 61342
Family Medicine
1401 EAST 12TH STREET
MENDOTA, IL 61342
Emergency Medicine
1401 EAST 12TH STREET
MENDOTA, IL 61342
Durable Medical Equipment & Medical Supplies
1401 EAST 12TH STREET
MENDOTA, IL 61342
General Acute Care Hospital (Critical Access)
1401 EAST 12TH STREET
MENDOTA, IL 61342
Medicare Defined Swing Bed Unit
1401 EAST 12TH STREET
MENDOTA, IL 61342
Nurse Anesthetist, Certified Registered
1401 EAST 12TH STREET
MENDOTA, IL 61342
General Acute Care Hospital (Critical Access)
1401 EAST 12TH STREET
MENDOTA, IL 61342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316960404, enumerated as an "individual" on July 26, 2006.

The provider is located at 1401 EAST 12TH STREET MENDOTA, IL 61342 and the phone number is (815) 539-7461.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.