DARYL K POTTER (FNP-C) – Family Nurse Practitioner, NPI 1124442199

DARYL K POTTER (FNP-C) is a healthcare provider. based in Glendale, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP5387 (AZ). The NPI Number for DARYL K POTTER (FNP-C) is 1124442199

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DARYL K POTTER (FNP-C)
NPI
1124442199
Phone
(602) 795-8700
Address
20280 N 59TH AVE
Enumeration Date
12 February 2014
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2548658251
Graduation Year
2013 (13 years ago)
PAC ID
0143443259
Group Practice PAC ID
7719886282
Professional Enrollment ID
I20210203000739
Address ID
TX765281098GA1507XSTXX400

Contacts

Secure Messaging
dpotter@ch.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for DARYL K POTTER (FNP-C)

  • 20280 N 59TH AVE

    STE 115-617

    GLENDALE, AZ 853086850

    Phone: (602) 795-8700

    Fax: (602) 795-8701

    Type: Mailing

  • 725 S DOBSON RD

    STE 100

    CHANDLER, AZ 852245680

    Phone: (602) 795-8700

    Fax: (602) 795-8701

    Type: Location

  • 5100 Franklin Ave

    Waco, TX 767106922

    Phone: (254) 865-2166

    Fax: (254) 248-6306

    Type: Location

  • 215 N Main St

    McGregor, TX 766571236

    Phone: (254) 865-2166

    Fax: (254) 248-6306

    Type: Location

  • 404 Avenue E

    Moody, TX 765573579

    Phone: (254) 853-9603

    Fax: (254) 853-9612

    Type: Location

  • 1507 W MAIN ST

    GATESVILLE, TX 765281024

    Phone: (254) 865-2166

    Fax: (254) 248-0626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,396.

Total Amount is formed as General ($1,396) + Research ($0) + Ownership ($0) = $1,396.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($360).

Total Amount

$1,396

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210203000739INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes557149$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11817$0
96127Assessment of emotional or behavioral problems10884$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
View full utilization report →

Insurance plans in this area (ZIP 85308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719886282View full group profile
NameSpecialtyState
U R O L O G YTX
General SurgeryTX
Pain Management, AnesthesiologyTX
Family Practice, Emergency MedicineTX
-TX
Nurse PractitionerTX
-TX
Physician AssistantTX
Family PracticeTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Is DARYL K POTTER (FNP-C) listed with a National Provider Identifier?
Yes — DARYL K POTTER (FNP-C) has NPI 1124442199 on file in the registry.
Active or inactive — what applies to DARYL K POTTER (FNP-C)?
You should see DARYL K POTTER (FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with DARYL K POTTER (FNP-C)?
DARYL K POTTER (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DARYL K POTTER (FNP-C) associated with Glendale?
Public fields place DARYL K POTTER (FNP-C) around Glendale, Arizona. Always confirm the exact site before visiting.
Can I trust this NPI listing for DARYL K POTTER (FNP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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