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MR. KEANTHONY LEVAR POTTER CRNA
NPI 1437849098
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since May 08, 2023Accepts Medicare Assignment
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110(800) 862-9980(314) 362-1185 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Aug 22, 2024, Jul 12, 2024 and 1 more (4 updates tracked since 2023).

About Mr. Keanthony Levar Potter Crna NPPES

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

MR. KEANTHONY LEVAR POTTER CRNA (NPI 1437849098) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2024034159) and active in the NPI registry since May 2023. He is affiliated with Piedmont Henry Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437849098
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KEANTHONY LEVAR POTTERCredential: CRNA
Location Address1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGYSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (800) 862-9980 · Fax (314) 362-1185
Phone(800) 862-9980
Fax(314) 362-1185
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 8, 2023
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1437849098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2024034159
Definition
(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.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid910146980MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Keanthony Levar Potter Crna 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 ID6901347921
PECOS Enrollment IDI20250821003181

Medicare Billing Reassignments

5

Medicare enrollment records show Keanthony Potter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acuity Anesthesiology LLC
30 mi
Anesthesiology
1400 US HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 31 clinicians in this Medicare group
NPI 1134353030 (314) 548-4739
Northern Georgia Anesthesia Associates, LLC
464 mi
Nurse Anesthetist, Certified Registered
3280 HOWELL MILL RD NW STE T150
Atlanta, GA 30327
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
NPI 1568256394 (404) 355-3200
Gi Anesthesia Of Georgia LLC
467 mi
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
NPI 1326569187 (404) 888-7575
Piedmont Anesthesia LLC
488 mi
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
NPI 1700474244 (678) 604-1053
Coastal Ambulatory Anesthesia LLC
689 mi
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
NPI 1750753786 (912) 429-9020

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
1 BARNES JEWISH HOSPITAL PLZ, DIV IM MEDICAL ONCOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 747-1171
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373

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 Keanthony Potter's NPI number?

The NPI number for Keanthony Potter is 1437849098. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Keanthony Potter located?

Keanthony Potter practices at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis, MO 63110. The listed phone number is (800) 862-9980.

What is Keanthony Potter's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Keanthony Potter enrolled in Medicare?

Yes. Keanthony 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.

Which organizations bill Medicare for Keanthony Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keanthony Potter reassigns Medicare benefits to 5 organizations: Acuity Anesthesiology LLC (Festus, MO), Northern Georgia Anesthesia Associates, LLC (Atlanta, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Piedmont Anesthesia LLC (Stockbridge, GA) and Coastal Ambulatory Anesthesia LLC (Savannah, GA). 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 Keanthony Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keanthony Potter affiliated with any hospitals?

According to CMS data, Keanthony Potter is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Keanthony Potter was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.