Derick Aaron Potter, ARNP - Medicare Nurse Practitioner in Chehalis, WA

Derick Aaron Potter, ARNP is a medicare enrolled "Nurse Practitioner" in Chehalis, Washington. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Faith Home Care Practitioners Pllc and his current practice location is 2690 Ne Kresky Ave, Chehalis, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 330-9595.

Derick Aaron Potter is licensed to practice in Washington (license number AP60630477) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811355803.

Contact Information

Derick Aaron Potter, ARNP
2690 Ne Kresky Ave,
Chehalis, WA 98532-2412
(360) 330-9595
(360) 330-9530

Map and Direction




Provider's Profile

Full NameDerick Aaron Potter
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location2690 Ne Kresky Ave, Chehalis, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derick Aaron Potter graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1811355803
  • Provider Enumeration Date: 02/04/2016
  • Last Update Date: 02/04/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214223833
  • Enrollment ID: I20160908000957

Medical Identifiers

Medical identifiers for Derick Aaron Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811355803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60630477 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Assured Home Health And HospiceCentralia, WAHome health agency
Providence Centralia HospitalCentralia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faith Home Care Practitioners Pllc84263654122

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. Derick Aaron Potter allows following entities to bill medicare on his behalf.
Entity NameLewis County Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134164692
PECOS PAC ID: 6002803749
Enrollment ID: O20040426001899
Entity NameFaith Home Care Practitioners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275917254
PECOS PAC ID: 8426365412
Enrollment ID: O20150924000149

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. Derick Aaron 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
Derick Aaron Potter, ARNP
2690 Ne Kresky Ave,
Chehalis, WA 98532-2412

Ph: (360) 330-9595
Derick Aaron Potter, ARNP
2690 Ne Kresky Ave,
Chehalis, WA 98532-2412

Ph: (360) 330-9595

Reviews and Comments


Nurse Practitioner Nurses in Chehalis, WA

Kelly Ann Lagervall, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 539 Us Highway 12, Chehalis, WA 98532
Phone: 253-350-5339    
Jennifer O'brien, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532
Phone: 360-330-9595    Fax: 360-330-9560
Kalob K Rahn, LPN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 Se Washington Ave, Chehalis, WA 98532
Phone: 360-748-4776    
Miss Marles Jean Geist, RN, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Bishop Rd, Chehalis, WA 98532
Phone: 360-345-1381    Fax: 360-345-1382
Erin N Chase, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1299 Bishop Rd, Chehalis, WA 98532
Phone: 360-748-0211    Fax: 360-740-4170
Alena F Ponkratov, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532
Phone: 360-330-9595    
Christiaan Collier, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532
Phone: 360-330-9595    

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.