Mrs Sparkle Mahogany Potter, CRNA - Medicare Nurse Anesthetist, Certified Registered in Newport News, VA

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Mrs Sparkle Mahogany Potter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport News, Virginia. Her current practice location is 860 Omni Blvd Ste 104, Newport News, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 659-6285.

Mrs Sparkle Mahogany Potter is licensed to practice in Virginia (license number 0024182190) 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 1033508213.

Contact Information

Mrs Sparkle Mahogany Potter, CRNA
860 Omni Blvd Ste 104,
Newport News, VA 23606-4430
(757) 659-6285
Not Available

Map and Direction




Provider's Profile

Full NameMrs Sparkle Mahogany Potter
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location860 Omni Blvd Ste 104, Newport News, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033508213
  • Provider Enumeration Date: 01/12/2015
  • Last Update Date: 04/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406231760
  • Enrollment ID: I20220922002107

Medical Identifiers

Medical identifiers for Mrs Sparkle Mahogany Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033508213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024182190 (Virginia)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 Sparkle Mahogany Potter allows following entities to bill medicare on her behalf.
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980
Entity NameVirginia Anesthesia And Perioperative Care Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760417281
PECOS PAC ID: 2062419377
Enrollment ID: O20061030000565
Entity NameSmg Anesthesia Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205004
PECOS PAC ID: 6305081118
Enrollment ID: O20130327000494

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 Sparkle Mahogany 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 Sparkle Mahogany Potter, CRNA
860 Omni Blvd Ste 104,
Newport News, VA 23606-4430

Ph: () -		Mrs Sparkle Mahogany Potter, CRNA
860 Omni Blvd Ste 104,
Newport News, VA 23606-4430

Ph: (757) 659-6285

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Newport News, VA

Ms. Erica R Nipper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2000    
Marsc Danielle Mertilus, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2000    
David Roger Shoemaker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2000    Fax: 757-594-3005
Ms. Connie B. Reitz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2 Bernardine Dr, Newport News, VA 23602
Phone: 757-886-6755    
Mrs. Jennifer Laurie Esposito, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11848 Rock Landing Dr, Newport News, VA 23606
Phone: 757-591-2260    Fax: 757-591-2001
Frankie R Carr, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601
Phone: 757-594-2000    

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.