Jaclyn Suzanne Potts, CRNA - Nurse Anesthetist, Certified Registered in Ardmore, OK

Jaclyn Suzanne Potts, CRNA is a Nurse Anesthetist, Certified Registered based in Ardmore, Oklahoma. Jaclyn Suzanne Potts is licensed to practice in Oklahoma (license number R0089907) and her current practice location is 2002 12th Ave Nw Ste C, Ardmore, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 715-3610.

NPI number for Jaclyn Suzanne Potts is 1780968529 and her current mailing address is Po Box 268988, Oklahoma City, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780968529.

Contact Information

Jaclyn Suzanne Potts, CRNA
2002 12th Ave Nw Ste C,
Ardmore, OK 73401-1206
(405) 715-3610
Not Available



Provider's Profile

Full NameJaclyn Suzanne Potts
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2002 12th Ave Nw Ste C, Ardmore, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780968529
  • Provider Enumeration Date: 09/28/2011
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Jaclyn Suzanne Potts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780968529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R0089907 (Oklahoma)Primary

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. Jaclyn Suzanne Potts is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Suzanne Potts, CRNA
Po Box 268988,
Oklahoma City, OK 73126-8988

Ph: (405) 715-3610
Jaclyn Suzanne Potts, CRNA
2002 12th Ave Nw Ste C,
Ardmore, OK 73401-1206

Ph: (405) 715-3610

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Ardmore, OK

Jason Michael Richardson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-226-1251    
James F Fiala, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2412 N Commerce St, Ardmore, OK 73401
Phone: 580-226-5000    Fax: 580-226-5035
Trey Ryan Roundtree, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-223-5400    
Sergio Gonzalez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-226-1251    Fax: 580-226-1254
Dolores Pasierb, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2412 North Commerce, Ardmore, OK 73401
Phone: 580-226-5000    Fax: 580-226-5035
Erin Salsman, CRNA-APRN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1012 14th Ave Nw, Ardmore, OK 73401
Phone: 580-272-0485    Fax: 580-332-5750

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