JENNIE A POTTS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003110560

JENNIE A POTTS (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 728287 (TX). The NPI Number for JENNIE A POTTS (CRNA) is 1003110560

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE A POTTS (CRNA)
NPI
1003110560
Phone
(972) 715-5000
Address
PO BOX 650426
Enumeration Date
27 December 2010
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729327200
Graduation Year
2010 (16 years ago)
PAC ID
1153505417
Group Practice PAC ID
0749263812
Professional Enrollment ID
I20110411000560
Address ID
TX751421861KA850XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for JENNIE A POTTS (CRNA)

  • PO BOX 650426

    DALLAS, TX 752650426

    Phone: (972) 715-5000

    Type: Mailing

  • 13601 PRESTON RD

    1000W

    DALLAS, TX 752404911

    Phone: (972) 715-5000

    Type: Location

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: 2011-04-11

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
I20110411000560ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope10190$0
00811Anesthesia for other procedure on large bowel using an endoscope9594$0
00813Anesthesia for procedure on small and large bowel using an endoscope9292$0
00812Anesthesia for exam of colon using an endoscope8887$0
00142Anesthesia for lens surgery1212$0
View full utilization report →

Insurance plans in this area (ZIP 75265)

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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: 0749263812View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Where can patients find JENNIE A POTTS (CRNA)'s NPI?
You can confirm JENNIE A POTTS (CRNA) with NPI 1003110560; it appears in the national provider directory.
Is JENNIE A POTTS (CRNA) active in the national directory?
JENNIE A POTTS (CRNA)'s public NPI profile is in an active state.
What does JENNIE A POTTS (CRNA) treat or focus on?
Patients typically see JENNIE A POTTS (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIE A POTTS (CRNA)?
The snapshot lists Dallas, Texas for JENNIE A POTTS (CRNA); download NPPES for the complete set.
Is JENNIE A POTTS (CRNA) a real provider?
This page reflects official NPPES data for NPI 1003110560. Always confirm identity and privileges with the practice and licensing boards.

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