DERICK AARON POTTER ARNP
NPI 1811355803
Nurse Practitioner in Chehalis, WA

Q: What is Derick Potter's NPI number?

The NPI number for Derick Potter is 1811355803. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Q: What is Derick Potter'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 Derick Potter was last updated on February 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment

2690 NE KRESKY AVE, CHEHALIS, WA 98532(360) 330-9595(360) 330-9530 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Derick Aaron Potter Arnp NPPES

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

DERICK AARON POTTER ARNP (NPI 1811355803) is an individual nurse practitioner in Chehalis, Washington, licensed in Washington (AP60630477) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811355803

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDERICK AARON POTTERCredential: ARNP

Location Address2690 NE KRESKY AVEChehalis, WA 98532-2412

Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9595 · Fax (360) 330-9530

Phone(360) 330-9595

Fax(360) 330-9530

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 4, 2016

✔ NPI 1811355803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60630477

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.

2690 NE KRESKY AVE, Chehalis, WA 98532

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Derick Aaron Potter Arnp 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 ID7214223833

PECOS Enrollment IDI20160908000957

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 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.

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336

This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.

75 services29 patients

Established patient custodial care facility, group care, or assisted living visit, typically 1 hour 99337

This service involves a healthcare professional visiting an established patient in a group care facility or assisted living for about an hour. The visit may include health checks, medication management, and addressing any health concerns to maintain the patient's well-being.

35 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98532 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers27 claims62 services$6.88 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims19 services$1.14 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$111.70 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers11 claims11 services$184.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY REBECCA KELSO RDH

Dental Hygienist