ELIZABETH EVE POTTER
NPI 1639738545
Nurse Practitioner - Family in Salt Lake City, UT

Active since June 13, 2019PECOS Enrolled
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 266-4174 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2020, Jun 13, 2019 (2 updates tracked since 2019).

About Elizabeth Eve Potter NPPES

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

ELIZABETH EVE POTTER (NPI 1639738545) is an individual family provider in Salt Lake City, Utah, licensed in Utah (6997617-4405) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639738545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH EVE POTTER
Location Address1160 E 3900 S STE 2000Salt Lake City, UT 84124-1236
Mailing AddressPo Box 741729Atlanta, GA 30374-1729
Fax(801) 266-4174
Sole ProprietorYes
Enumeration DateJune 13, 2019
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1639738545 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 UT · 6997617-4405
1160 E 3900 S STE 2000, Salt Lake City, UT 84124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Eve Potter 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 Reassignment

Medicare enrollment records show Elizabeth Potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
359 E 8TH AVE STE 205
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group

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 84124 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 19

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

Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Physician Assistant
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner (Family)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124

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 Elizabeth Potter's NPI number?

The NPI number for Elizabeth Potter is 1639738545. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Elizabeth Potter located?

Elizabeth Potter practices at 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Elizabeth Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Potter enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Potter reassigns Medicare benefits to Dr John Foley LLC (Salt Lake City, UT). The 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 Elizabeth Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Potter was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.