KACI LYNN POTTER – Family Nurse Practitioner, NPI 1881047207

KACI LYNN POTTER is a healthcare provider. based in West warwick, Rhode Island. specializing in NURSE PRACTITIONER. They hold a License No. APRN01417 (RI). The NPI Number for KACI LYNN POTTER is 1881047207

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KACI LYNN POTTER
NPI
1881047207
Phone
(401) 615-2800
Address
186 PROVIDENCE ST
Enumeration Date
20 July 2016
Last Update Date
31 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013994989
Graduation Year
2016 (10 years ago)
PAC ID
9830487677
Group Practice PAC ID
5698211456
Professional Enrollment ID
I20161012000134
Address ID
RI028861692WA400XXRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

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Provider Addresses for KACI LYNN POTTER

  • 186, Providence Street, River Point, West Warwick, Kent County, Rhode Island, 02893, United States

    WEST WARWICK, RI 028932508

    Phone: (401) 615-2800

    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: 2016-10-12

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
I20161012000134INurse PractitionerRITBD

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 02893)

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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: 5698211456View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

How is KACI LYNN POTTER identified in CMS data?
CMS-hosted NPPES data lists KACI LYNN POTTER with NPI 1881047207.
Does the file indicate KACI LYNN POTTER is practicing under active NPI?
Directory data currently reports KACI LYNN POTTER as active.
What is KACI LYNN POTTER's primary classification?
Family Nurse Practitioner is the headline specialty for KACI LYNN POTTER here. Clinical services aligned with this taxonomy classification.
Where should I expect KACI LYNN POTTER on a map?
Expect West Warwick, Rhode Island as a primary anchor for KACI LYNN POTTER unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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