LIZABETH ANN POTTER (MD) – Child & Adolescent Psychiatry Physician, NPI 1912008285

LIZABETH ANN POTTER (MD) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD420631 (PA). The NPI Number for LIZABETH ANN POTTER (MD) is 1912008285

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LIZABETH ANN POTTER (MD)
NPI
1912008285
Phone
(717) 657-2080
Address
5351 JAYCEE AVE # C
Enumeration Date
26 September 2006
Last Update Date
26 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
6901815570
Group Practice PAC ID
4183888324
Professional Enrollment ID
I20060418000547
Address ID
PA176016745LA1808XLNXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,871 PSYCHIATRY in PA

Provider Addresses for LIZABETH ANN POTTER (MD)

  • 5351 JAYCEE AVE # C

    SUITE 1

    HARRISBURG, PA 171122938

    Phone: (717) 657-2080

    Fax: (717) 657-2290

    Type: Location

  • 625, West Elm Avenue, Midway, Hanover, York County, Pennsylvania, 17331, United States

    HANOVER, PA 173315125

    Phone: (717) 632-4900

    Fax: (717) 632-4313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($22).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

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: 2006-04-18

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
I20060418000547IPsychiatryPATBD

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 17112)

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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: 4183888324View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
-PA
-PA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

How is LIZABETH ANN POTTER (MD) identified in CMS data?
CMS-hosted NPPES data lists LIZABETH ANN POTTER (MD) with NPI 1912008285.
Does CMS list LIZABETH ANN POTTER (MD) as active?
Yes — LIZABETH ANN POTTER (MD) is active in the NPI listing used on this page.
What is LIZABETH ANN POTTER (MD) best known for clinically?
Directory data describes LIZABETH ANN POTTER (MD) with Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LIZABETH ANN POTTER (MD)?
LIZABETH ANN POTTER (MD)'s geographic hint is Harrisburg, Pennsylvania in our summary view.
Why does LIZABETH ANN POTTER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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