Jennifer Mae Potter (NPI# 1417209347, PAC ID# 2860642485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417209347 |
| PAC ID by PECOS | 2860642485 |
| Professional Enrollment ID | I20121017000234 |
| Full Name | Jennifer Mae Potter |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
2240 Karisa Dr Suite 1 Goshen IN 46526-6943 |
| Phone Number | 5743094969 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2240 Karisa Dr, Suite 1, Goshen, IN 46526-6943 | 5743094969 | BEACON MEDICAL GROUP INC |
| 100 Navarre Pl, 6600 Bmg N Central Neurosurgery Sb, South Bend, IN 46601-1173 | 5746478800 | BEACON MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 91% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 59% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 34% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 11% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 32% | |
| MIPS_EC_047_overall | Care Plan | 52% | |
| MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 5% |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
2240 KARISA DR SUITE 1 |
| City | GOSHEN |
| State | IN |
| Zip | 46526-6943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan K Szynal | Physical Medicine and Rehabilitation | 2240 Karisa Dr, Suite 3, Goshen, IN 46526-6943 | |
| Dicky G Bhagat | Internal Medicine | 2240 Karisa Dr, Suite 1, Goshen, IN 46526-6943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Cook | Family Medicine | 2606 Peddlers Village Rd, Suite 200, Goshen, IN 46526-1004 | |
| Leah Renee Miller | Nurse Practitioner | Goshen Health System Inc | 2832 Elkhart Rd, Goshen, IN 46526-1014 |
| Lisa A Orn | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Kristina M Jackowiak | Physician Assistant | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Christina L Haimes | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Catherine Dos Santos | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Jeffrey Alan Eck | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| David C Kay | Internal Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Nicole Greenlee | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Laura J Wheeler | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Find all physicians in zip 46526 | |||
| City | GOSHEN |
| Zip Code | 46526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GOSHEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Mae Potter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.