HALEY POTTER – Family Nurse Practitioner, NPI 1033926787

HALEY POTTER is a healthcare provider. based in Plymouth meeting, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP030879 (PA). The NPI Number for HALEY POTTER is 1033926787

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
HALEY POTTER
NPI
1033926787
Phone
(610) 272-8221
Address
2901 JOLLY RD
Enumeration Date
16 December 2024
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102728221
Graduation Year
2024 (2 years ago)
PAC ID
7517495856
Group Practice PAC ID
9537552419
Professional Enrollment ID
I20250114001759
Address ID
PA194622324PL2901XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for HALEY POTTER

  • 2901 JOLLY RD

    PLYMOUTH MEETING, PA 194622324

    Phone: (610) 272-8221

    Mailing address matches the actual address.

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: 2025-01-14

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
I20250114001759INurse PractitionerPATBD

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 19462)

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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: 9537552419View full group profile
NameSpecialtyState
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Internal Medicine, Geriatric MedicinePA
Nurse PractitionerPA
Clinical Social WorkerPA
Nurse PractitionerPA
General PracticePA

Reviews

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Frequently asked questions

What federal number belongs to HALEY POTTER?
The federal identifier for HALEY POTTER is NPI 1033926787.
Does this profile mean HALEY POTTER is currently active?
Yes — HALEY POTTER appears active in the national provider directory.
What does HALEY POTTER treat or focus on?
Patients typically see HALEY POTTER under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place HALEY POTTER?
The snapshot lists Plymouth Meeting, Pennsylvania for HALEY POTTER; download NPPES for the complete set.
What if Plymouth Meeting, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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