KACI LYNN POTTER
NPI 1881047207
Nurse Practitioner - Family in West Warwick, RI

Q: What is Kaci Potter's NPI number?

The NPI number for Kaci Potter is 1881047207. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Kaci 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 Kaci Potter was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 20, 2016PECOS EnrolledAccepts Medicare Assignment

186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 615-2800(401) 615-2805 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kaci Lynn Potter NPPES

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

KACI LYNN POTTER (NPI 1881047207) is an individual family provider in West Warwick, Rhode Island, licensed in Rhode Island (APRN01417) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881047207

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKACI LYNN POTTER

Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508

Mailing Address186 Providence StWest Warwick, RI 02893-2508 · (401) 615-2800

Phone(401) 615-2800

Fax(401) 615-2805

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 20, 2016

Last NPPES UpdateOctober 31, 2018

✔ NPI 1881047207 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 RI · APRN01417

186 PROVIDENCE ST, West Warwick, RI 02893

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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

Kaci Lynn Potter 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 ID9830487677

PECOS Enrollment IDI20161012000134

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 Kaci Potter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thundermist Health Center

Same address

Federally Qualified Health Center (FQHC)

186 PROVIDENCE ST
West Warwick, RI 02893

Reassigned Medicare billing, Rhode Island enrollment
288 clinicians in this Medicare group

NPI 1376708560 (401) 615-2800

Atmed Treatment Center, Inc.

7.8 mi

Internal Medicine

1526 ATWOOD AVE, SUITE 100
Johnston, RI 02919

Reassigned Medicare billing, Rhode Island enrollment
14 clinicians in this Medicare group

NPI 1558490151 (401) 273-9400

Novella Healthcare Services PLLC

9.2 mi

Internal Medicine

10 DORRANCE ST STE 700
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
9 clinicians in this Medicare group

NPI 1619724481 (802) 397-9366

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02893 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

BERNADETTE LIMIADI WALERYSZAK FNP-C

Nurse Practitioner (Family)