OrganizationActive
Jaclyn S Potts Aprn-Crna PC
NPI 1013358647 · Certified Registered Nurse Anesthetist · Ardmore, OK
Provider details
- NPI number
- 1013358647
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jaclyn Potts, President(405) 715-3610
- License
- R0089907 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2002 12th Ave Nw Ste C
Ardmore, OK 73401-1206
Phone: (405) 715-3610
Fax: (405) 715-3612
Street-level locationGet directions
Mailing address
P.o. Box 268988
Oklahoma City, OK 73126
Other names (DBA / former)
- Doing business as
- South Central Anesthesia
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2018-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.