KATHERINE MARY POTTER – Certified Registered Nurse Anesthetist, NPI 1164942231

KATHERINE MARY POTTER is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN271868 (MA). The NPI Number for KATHERINE MARY POTTER is 1164942231

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE MARY POTTER
NPI
1164942231
Phone
(860) 280-5790
Address
251 HEATH ST APT 218
Enumeration Date
21 June 2017
Last Update Date
21 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
2012 (14 years ago)
PAC ID
6103192075
Group Practice PAC ID
0446155568
Professional Enrollment ID
I20171019003031
Address ID
MA021155724BO300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

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Provider Addresses for KATHERINE MARY POTTER

  • 251 HEATH ST APT 218

    JAMAICA PLAIN, MA 021301167

    Phone: (860) 280-5790

    Type: Mailing

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-19

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
I20171019003031ICertified Registered Nurse Anesthetist (Crna)MATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02130)

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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: 0446155568View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YMA
Anesthesiology, Pediatric MedicineMA
-MA
-MA
Anesthesiology, Pediatric Medicine, Critical Care (Intensivists)MA
Nurse PractitionerMA
-MA
A N E S T H E S I O L O G YMA
Pain Management, NeurologyMA

Reviews

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Frequently asked questions

What number should I use to identify KATHERINE MARY POTTER for billing?
Administrative and clinical systems typically use NPI 1164942231 for KATHERINE MARY POTTER.
Should I treat KATHERINE MARY POTTER as an active provider?
Patients and plans typically see KATHERINE MARY POTTER as active in the national extract.
What does the directory say KATHERINE MARY POTTER does?
Insurance directories may phrase it differently, but here KATHERINE MARY POTTER maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE MARY POTTER?
The directory associates KATHERINE MARY POTTER with Jamaica Plain, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for KATHERINE MARY POTTER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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