AMANDA POTTER APRN, FNP-C
NPI 1730795246
Nurse Practitioner - Family in Fayetteville, AR

Q: What is Amanda Potter's NPI number?

The NPI number for Amanda Potter is 1730795246. It was assigned to this individual provider in the NPPES registry on September 20, 2020.

Q: What is Amanda Potter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Potter was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 20, 2020PECOS EnrolledAccepts Medicare Assignment

688 E MILLSAP RD STE 101, FAYETTEVILLE, AR 72703(479) 582-3366(479) 582-5843 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Jul 3, 2023, Sep 20, 2020 (3 updates tracked since 2020).

On this page

About Amanda Potter Aprn, Fnp-c NPPES

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

AMANDA POTTER APRN, FNP-C (NPI 1730795246) is an individual family provider in Fayetteville, Arkansas, licensed in Arkansas (212809) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730795246

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA POTTERCredential: APRN, FNP-C

Location Address688 E MILLSAP RD STE 101Fayetteville, AR 72703-3930

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 582-3366

Fax(479) 582-5843

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 20, 2020

Last NPPES UpdateMay 9, 20253 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1730795246 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 AR · 212809

688 E MILLSAP RD STE 101, Fayetteville, AR 72703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

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

Amanda Potter 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 ID2365852266

PECOS Enrollment IDI20201104001760

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

Medicare enrollment records show Amanda Potter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Northwest Arkansas PA

Same address

Family Medicine

688 E MILLSAP RD STE 101
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
125 clinicians in this Medicare group

NPI 1689624322 (479) 443-3536

Washington Regional Medical System

Same address

Internal Medicine

688 E MILLSAP RD
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
106 clinicians in this Medicare group

NPI 1770846826 (479) 463-3070

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

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

30 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 13

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

BALANCE AND BLOOM A WELLNESS COLLECTIVE PLLC

Clinic/Center (Physical Therapy)