JOAN A POTTER CRNA
NPI 1841380508
Nurse Anesthetist, Certified Registered in Fairfield, IL

Q: What is Joan Potter's NPI number?

The NPI number for Joan Potter is 1841380508. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Joan Potter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joan Potter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 13, 2006Accepts Medicare Assignment

303 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-2611 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Joan A Potter Crna NPPES

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

JOAN A POTTER CRNA (NPI 1841380508) is an individual nurse anesthetist, certified registered in Fairfield, Illinois and active in the NPI registry since October 2006. She is affiliated with Good Samaritan Regional Hlth Center and is a graduate of Other (1993).

NPPES Registry Identity

NPI1841380508

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJOAN A POTTERCredential: CRNA

Location Address303 NW 11TH STFairfield, IL 62837-1203

Mailing AddressRr 3 Box 658Fairfield, IL 62837-9568 · (618) 847-7627

Phone(618) 842-2611

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1841380508 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

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.

303 NW 11TH ST, Fairfield, IL 62837

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Other Identifiers 2

Medicare ID-Type UnspecifiedK08870IL

Medicare UPINS11315

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

Joan A 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 ID5991771669

PECOS Enrollment IDI20040903000198

Hospital Affiliations CMS Care Compare

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

WHITNEY ELAINE BUCKLES RD, LDN

Dietitian, Registered