REBEKAH POTTS – Clinical Social Worker, NPI 1023548039

REBEKAH POTTS is a healthcare provider. based in Portland, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold a License No. L16357 (OR). The NPI Number for REBEKAH POTTS is 1023548039

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
REBEKAH POTTS
NPI
1023548039
Phone
(503) 238-0769
Address
847 NE 19TH AVE STE 100
Enumeration Date
13 June 2017
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9931603982
Group Practice PAC ID
9537065560
Professional Enrollment ID
I20250922001691
Address ID
OR970454302OR150XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for REBEKAH POTTS

  • 100, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972322684

    Phone: (503) 238-0769

    Type: Location

  • 8459, Northwest Ash Street, Taylor Crest, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States

    PORTLAND, OR 972078459

    Phone:

    Type: Mailing

  • 6605 SE LAKE RD

    MILWAUKIE, OR 972222161

    Phone: (503) 655-8401

    Fax: (503) 655-8429

    Type: Mailing

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: 2025-09-22

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
I20250922001691IClinical Social WorkerORTBD

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 97232)

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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: 9537065560View full group profile
NameSpecialtyState
Family PracticeOR
Clinical Social WorkerOR
Clinical Social WorkerOR
Nurse PractitionerOR
-OR
Clinical Social WorkerOR
Clinical Social WorkerOR
-OR
Clinical Social WorkerOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

How do I look up REBEKAH POTTS by NPI?
Use NPI 1023548039 when you need to reference REBEKAH POTTS in forms, claims, or directories.
Is REBEKAH POTTS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does REBEKAH POTTS list a primary specialty?
If you are matching referrals, note Clinical Social Worker for REBEKAH POTTS. Clinical services aligned with this taxonomy classification.
Where is REBEKAH POTTS's primary listing?
We display Portland, Oregon because that is what the record indicates for REBEKAH POTTS.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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