SUSAN MARY POTTER FNP
NPI 1831270420
Nurse Practitioner in Sherman, TX

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
500 N HIGHLAND AVE, SHERMAN, TX 75092(512) 730-3056(888) 730-1925 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Susan Mary Potter Fnp NPPES

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

SUSAN MARY POTTER FNP (NPI 1831270420) is an individual nurse practitioner in Sherman, Texas, licensed in Oklahoma (205349) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831270420
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN MARY POTTERCredential: FNP
Location Address500 N HIGHLAND AVESherman, TX 75092-7354
Mailing Address7500 Rialto Blvd Ste 1-140Austin, TX 78735-8534 · (512) 730-3056 · Fax (888) 730-1925
Fax(888) 730-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1831270420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OK · 205349✔ Licensed in TX · 520140
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 520140 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP106025 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP106025 (TN)
500 N HIGHLAND AVE, Sherman, TX 75092

Other Names 1

Former Name (1)Susan Mary Kelly Fnp

Secondary Practice Locations 2

Location 1400 S.W. 25th AvenueMineral Wells, TX 76067 · Phone (940) 328-7503
Location 2609 Medical Center DrDecatur, TX 76234-3836 · Phone (940) 627-5921 · Fax (940) 626-1351

Other Identifiers 1

Other8N9964TX · Blue Cross & Blue Shield

Accepted 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

Susan Mary Potter Fnp 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 ID2860409794
PECOS Enrollment IDI20211005000965
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

8

Medicare enrollment records show Susan Potter reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
Emergency Medicine
609 MEDICAL CENTER DR
Decatur, TX 76234
  • Reassigned Medicare billing, Texas enrollment
  • 73 clinicians in this Medicare group
Hospitalist
400 SW 25TH AVE
Mineral Wells, TX 76067
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Emergency Medicine
901 N PORTER AVE
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 418 clinicians in this Medicare group
Psychiatry
2129 SW 59TH ST
Oklahoma City, OK 73119
  • Reassigned Medicare billing, Oklahoma enrollment
  • 212 clinicians in this Medicare group
Emergency Medicine
1000 N LEE AVE
Oklahoma City, OK 73102
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Emergency Physicians Of Mid-America PC
  • 310 clinicians in this Medicare group
Family Medicine
100 N 30TH ST
Clinton, OK 73601
  • Reassigned Medicare billing, Oklahoma enrollment
  • 26 clinicians in this Medicare group
Hospitalist
1001 E 18TH ST
Grove, OK 74344
  • Reassigned Medicare billing, Oklahoma enrollment
  • 95 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.

Areas of Expertise CMS Part B claims 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
202 services195 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370002
Location900 17th StreetWoodward, OK 73801 · Woodward County
Emergency services

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

General Acute Care Hospital
500 N HIGHLAND AVE
SHERMAN, TX 75092
Dietitian, Registered
500 N HIGHLAND AVE
SHERMAN, TX 75092
Nurse Practitioner (Family)
500 N HIGHLAND AVE
SHERMAN, TX 75092
Emergency Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Internal Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Emergency Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092
Nurse Anesthetist, Certified Registered
500 N HIGHLAND AVE
SHERMAN, TX 75092
Internal Medicine
500 N HIGHLAND AVE
SHERMAN, TX 75092

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 Susan Potter's NPI number?

The NPI number for Susan Potter is 1831270420. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Susan Mary Kelly Fnp.

Where is Susan Potter located?

Susan Potter practices at 500 N Highland Ave, Sherman, TX 75092. The listed phone number is (512) 730-3056.

What is Susan Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Potter enrolled in Medicare?

Yes. Susan 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 Susan Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Potter reassigns Medicare benefits to 8 organizations: Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Wise Emergency Medicine Associates PA (Decatur, TX), Palo Pinto County Hospital District (Mineral Wells, TX), Emergency Services Of Oklahoma PC (Norman, OK), Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK) and 3 more organizations, listed in the Medicare section above. 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 Susan Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Potter accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Susan Potter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Potter affiliated with any hospitals?

According to CMS data, Susan Potter is affiliated with Alliancehealth Woodward, Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Midwest, Integris Southwest Medical Center and Integris Canadian Valley Hospital.

When was this NPI record last updated?

The NPPES record for Susan Potter was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.