SUSAN MARY POTTER (FNP) – Nurse Practitioner, NPI 1831270420

SUSAN MARY POTTER (FNP) is a healthcare provider. based in Mineral wells, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 520140 (TX). The NPI Number for SUSAN MARY POTTER (FNP) is 1831270420

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARY POTTER (FNP)
NPI
1831270420
Phone
(940) 328-7503
Address
400 S.W. 25th Avenue
Enumeration Date
18 October 2006
Last Update Date
2 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056104411
Graduation Year
1994 (32 years ago)
PAC ID
2860409794
Group Practice PAC ID
6709771207
Professional Enrollment ID
I20211005000965
Address ID
OK731104201MI2825XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SUSAN MARY POTTER (FNP)

  • 400 S.W. 25th Avenue

    Mineral Wells, TX 76067

    Phone: (940) 328-7503

    Type: Location

  • 609 Medical Center Dr

    Decatur, TX 762343836

    Phone: (940) 627-5921

    Fax: (940) 626-1351

    Type: Location

  • Wilson N. Jones Regional Medical Center, 500, North Highland Avenue, Sherman, Grayson County, Texas, 75092, United States

    SHERMAN, TX 750927354

    Phone: (512) 730-3056

    Fax: (888) 730-1925

    Type: Location

  • Rialto Boulevard, Austin, Travis County, Texas, 78735, United States

    AUSTIN, TX 787358534

    Phone: (512) 730-3056

    Fax: (888) 730-1925

    Type: Mailing

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: 2021-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060316000530INurse PractitionerTXTBD
I20211005000965INurse PractitionerOKTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes200192$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 76067)

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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: 6709771207View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
-OK
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseOK
Cardiovascular Disease (Cardiology)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Cardiovascular Disease (Cardiology)OK

Reviews

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Frequently asked questions

What is the standard ID for SUSAN MARY POTTER (FNP) in the U.S.?
In the U.S., SUSAN MARY POTTER (FNP) is identified by NPI 1831270420.
Is SUSAN MARY POTTER (FNP) currently accepting referrals based on NPI status?
Registry metadata lists SUSAN MARY POTTER (FNP) as active.
Which specialty label fits SUSAN MARY POTTER (FNP)?
NPPES ties SUSAN MARY POTTER (FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SUSAN MARY POTTER (FNP)?
The directory associates SUSAN MARY POTTER (FNP) with Mineral Wells, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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