KENDRA RAE POTTER (PA-C) – Physician Assistant, NPI 1255997086
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for KENDRA RAE POTTER (PA-C)
1490 Park Ave NW Ste 4A
Norton, VA 242731631
Phone: (276) 439-1385
Type: Location
Governor Manly Way, Raleigh, Wake County, North Carolina, 27587, United States
RALEIGH, NC 276147375
Phone: (919) 562-9410
Fax: (919) 562-2948
Type: Mailing
Rex Healthcare of Wakfield, 11200, Governor Manly Way, Raleigh, Wake County, North Carolina, 27614, United States
RALEIGH, NC 276148599
Phone: (919) 562-9410
Type: Location
4221 FORT HENRY DR STE 1
KINGSPORT, TN 376632227
Phone: (423) 726-2672
Fax: (423) 406-1399
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Linvatec Corporation ($65).
Total Amount
$201
General + Research + Ownership
Payments
10
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Linvatec Corporation | $65 |
| W. L. Gore & Associates, Inc. | $32 |
| Nalu Medical, Inc. | $25 |
| Fidia Pharma USA Inc. | $19 |
| DJO, LLC | $18 |
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: 2024-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201006003233 | I | Physician Assistant | TN | TBD |
| I20241108000030 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 212 | 192 | $0 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 155 | 119 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 122 | 109 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 119 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 114 | $0 |
Insurance plans in this area (ZIP 24273)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | TN | |
| Orthopedic Surgery | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Anesthesiology, Pain Management | KY | |
| Orthopedic Surgery | TN |
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