AMY NICHOLE POTTER – Gerontology Nurse Practitioner, NPI 1144658469
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for AMY NICHOLE POTTER
3740 Carlisle Rd
Dover, PA 173154416
Phone: (717) 292-3479
Type: Location
3740 CARLISLE RD
DOVER, PA 173154416
Phone:
Type: Mailing
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Type: Mailing
25 MONUMENT RD STE 100
YORK, PA 174035050
Phone: (717) 812-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,079.
Total Amount is formed as General ($2,079) + Research ($0) + Ownership ($0) = $2,079.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($562).
Total Amount
$2,079
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,079
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $562 |
| GlaxoSmithKline, LLC. | $291 |
| ABBVIE INC. | $272 |
| Lilly USA, LLC | $166 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $94 |
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: 2013-12-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131223001019 | I | Nurse Practitioner | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 201 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 100 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 34 | 34 | $0 |
| 83036 | Hemoglobin a1c level | 34 | 26 | $0 |
Insurance plans in this area (ZIP 17315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA |
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