Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255588828 Individual Practitioner Female Practitioner

Sandra Kay Potter , PA(ASCP)

Physician Assistant - Surgical • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Sandra Potter, PA(ASCP) is a registered healthcare professional specializing in Physician Assistant - Surgical in Springfield, IL. Practice services are available at 800 E CARPENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 E Carpenter St
St. John's Hospital - Department Of Pathology

Springfield, IL 627690001

Telephone 2175446464
Fax 2177576032
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Springfield, IL (609 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelsey Gee , OTR, L

Occupational Therapist

NPI 1013341635

Occupational Therapist Registered, L

Amy Weinhoeft , OTR

Occupational Therapist

NPI 1013357201

Occupational Therapist Registered

Stephanie Weitekamp

Nurse Anesthetist, Certified Registered

NPI 1013691708
Dr. Terence Wade , MD

Radiology - Diagnostic Radiology

NPI 1023290681

Doctor of Medicine (M.D.)

Susan Brinkoetter , CCC-SLP

Speech-Language Pathologist

NPI 1023292125

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1023461506

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2008

Registered at 800 E CARPENTER ST, ST. JOHN'S HOSPITAL - DEPARTMENT OF PATHOLOGY, SPRINGFIELD, IL 627690001 (Tel: 2175446464)

📍
Updated Business Mailing Address August 26, 2008

Registered at 800 E CARPENTER ST, ST. JOHN'S HOSPITAL - DEPARTMENT OF PATHOLOGY, SPRINGFIELD, IL 627690001 (Tel: 2175446464)

👤
Provider Name / Credentials Updated August 26, 2008

Recorded as SANDRA POTTER, PA(ASCP)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2008

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255588828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2008
Last Update: August 26, 2008
Sole Proprietor: No

Mailing Address

800 E Carpenter St, St. John's Hospital - Department Of Pathology

Springfield, IL 627690001

Phone: 2175446464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.