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

Active since October 13, 2006PECOS EnrolledAccepts 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: October 25, 2026.

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 enrolled in Medicare PECOS, 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
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedK08870IL
Medicare UPINS11315

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

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
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

6

Medicare enrollment records show Joan Potter reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Clay
21 mi
Critical Access
911 STACEY BURK DR
Flora, IL 62839
  • Reassigned Medicare billing, Illinois enrollment
  • 110 clinicians in this Medicare group
NPI 1184655136 (618) 662-2131
Good Samaritan Regional Health Center
29 mi
Emergency Medicine
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1487758801 (618) 899-4600
Anesthesia Associates Of Southern Illinois Surgery Center LLC
31 mi
Anesthesiology
2 GOOD SAMARITAN WAY STE 200
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
NPI 1043757487 (618) 899-5703
St. Mary's Hospital, Centralia, Illinois
41 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056
Ambulatory Surgery Center Of Centralia, LLC
42 mi
Clinic/Center
1045 MARTIN LUTHER KING DR
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1265495824 (618) 532-3110
Marion Anesthesia Company LLC
55 mi
Nurse Anesthetist, Certified Registered
3003 CIVIC CIRCLE BLVD
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
  • 31 clinicians in this Medicare group
NPI 1790721579 (618) 993-1112

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

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
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8326
DANA SHANTEL TAYLOR LCSW
Social Worker (Clinical)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8362
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MRS. MARY LOU MCCULLEY RN CDE
Health Educator
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
DEANDRA MARISSAH THOMPSON PA
Physician Assistant
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MASON SPITZNER CRNA
Nurse Anesthetist, Certified Registered
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8260
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
303 NW 11TH ST, STE 1
FAIRFIELD, IL 62837
Wayne County (618) 842-7204

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 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.

Where is Joan Potter located?

Joan Potter practices at 303 NW 11th St, Fairfield, IL 62837. The listed phone number is (618) 842-2611.

What is Joan Potter's specialty?

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

Is Joan Potter enrolled in Medicare?

Yes. Joan 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 Joan Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joan Potter reassigns Medicare benefits to 6 organizations: County Of Clay (Flora, IL), Good Samaritan Regional Health Center (Mount Vernon, IL), Anesthesia Associates Of Southern Illinois Surgery Center LLC (Mount Vernon, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Ambulatory Surgery Center Of Centralia, LLC (Centralia, IL) and 1 more organization, 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 Joan Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joan Potter affiliated with any hospitals?

According to CMS data, Joan Potter is affiliated with Good Samaritan Regional Hlth Center.

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.