Mrs Jennifer Potter, NP - Medicare Nurse Practitioner in Goldsboro, NC

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Mrs Jennifer Potter, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Goldsboro, North Carolina. Her current practice location is 2700 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 736-1110.

Mrs Jennifer Potter is licensed to practice in North Carolina (license number 5016417) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053042689.

Contact Information

Mrs Jennifer Potter, NP
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494
(919) 736-1110
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Potter
GenderFemale
SpecialityNurse Practitioner - Critical Care Medicine
Location2700 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053042689
  • Provider Enumeration Date: 06/23/2022
  • Last Update Date: 06/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799152294
  • Enrollment ID: I20221111001083

Medical Identifiers

Medical identifiers for Mrs Jennifer Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053042689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC0200XNurse Practitioner - Critical Care Medicine 5016417 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Potter allows following entities to bill medicare on her behalf.
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646
Entity NameGeriatric Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801478086
PECOS PAC ID: 5294132387
Enrollment ID: O20210915003266

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Potter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Potter, NP
214 Bland Howell Rd,
Kinston, NC 28504-7499

Ph: (252) 560-1991		Mrs Jennifer Potter, NP
2700 Wayne Memorial Dr,
Goldsboro, NC 27534-9494

Ph: (919) 736-1110

Reviews and Comments


Nurse Practitioner Nurses in Goldsboro, NC

Alyson Hardison, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 919-736-1110    
Summer Graham Carr, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 919-731-1110    
Jentry Ellon Naylor, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Mclamb Pl, Goldsboro, NC 27534
Phone: 919-580-9840    Fax: 919-580-9838
Mrs. Katie Michelle Anthony, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534
Phone: 919-734-4736    
Mrs. Lauren Lancaster,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2609 Medical Office Pl, Goldsboro, NC 27534
Phone: 919-734-1779    
Ronnie Elaine Edmundson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534
Phone: 919-734-4736    Fax: 919-580-1017

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.