Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Potter, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1215560578

Benjamin Potter, ACNPC-AG is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2020, 6 years ago. Practices with Wound Care Contractors LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
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Practice location Address checks out

1800 Irving Pl
Shreveport, LA 71101-4608
Phone: (318) 425-4096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 211844 (LA)

Record details

NPI number1215560578
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedFebruary 14, 2020
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wound Care Contractors Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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