MELLISSA A. POTTER APRN, FNP-BC
NPI 1922683036
Nurse Practitioner in Cedar Bluff, VA

Active since March 10, 2021PECOS Enrolled
142 MALL CHURCH RD, CEDAR BLUFF, VA 24609(865) 803-8372 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mellissa A. Potter Aprn, Fnp-bc NPPES

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

MELLISSA A. POTTER APRN, FNP-BC (NPI 1922683036) is an individual nurse practitioner in Cedar Bluff, Virginia, licensed in Tennessee (0000027891) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922683036
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELLISSA A. POTTERCredential: APRN, FNP-BC
Location Address142 MALL CHURCH RDCedar Bluff, VA 24609-7081
Mailing Address407 Orchard RdElizabethton, TN 37643-4022 · (142) 351-2052
Sole ProprietorNo
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1922683036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TN · 0000027891 Licensed in VA · 0024180872
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.
142 MALL CHURCH RD, Cedar Bluff, VA 24609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mellissa A. Potter Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24609 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

Family Medicine (Addiction Medicine)
142 MALL CHURCH RD
CEDAR BLUFF, VA 24609

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 Mellissa Potter's NPI number?

The NPI number for Mellissa Potter is 1922683036. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Mellissa Potter located?

Mellissa Potter practices at 142 Mall Church Rd, Cedar Bluff, VA 24609. The listed phone number is (865) 803-8372.

What is Mellissa Potter's specialty?

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

Is Mellissa Potter enrolled in Medicare?

Yes. Mellissa Potter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mellissa Potter was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.