Kenneth K Potts is a Mendota, Illinois based nurse anesthetist with 58 years of experience as Anesthesia Administration. He completed he graduation in 1967. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth K Potts is 041136641 for Anesthesia Administration in Illinois. his current practice location is 1401 East 12th Street, Mendota. Patients can reach him at 815-539-7461 or can fax him at 815-539-1461. Kenneth K Potts is C.R.N.A. with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1316960404. Kenneth K Potts is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kenneth K Potts speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
C.R.N.A.
Experience:
58+ years
Medical School Attended:
Other
Graduation Year:
1967
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1401 East 12th Street, Mendota, Illinois, 61342-9216
Phone:
815-539-7461
Fax:
815-539-1461
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527241777
Enrollment ID:
I20110324000731
NPI Number:
1316960404
NPI Enumeration Date:
26 Jul, 2006
NPI Last Update On:
30 Dec, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth K Potts are as mentioned below.
License Number
Specialization
State
Status
041136641
Anesthesia Administration
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr (140110)
Ottawa, IL
Acute Care Hospital
Osf Saint Paul Medical Center (141310)
Mendota, IL
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth K Potts has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Osf Multi-specialty Group (3678889789)
1494
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1401 East 12th Street, Mendota, Illinois
Zip:
61342-9216
Phone Number:
815-539-7461
Fax Number:
815-539-1461
Patients can reach Kenneth K Potts at 1401 East 12th Street, Mendota, Illinois or can call to book an appointment on 815-539-7461.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.