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

Derek Potter, PA

Individual provider Physician Assistant · NPI 1679906481

Derek Potter, PA is a Physician Assistant in Vernal, Utah. Qualified in 2013, 13 years ago. Practices with Northeastern Utah Medical Group, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

379 N 500 W Ste 1A
Vernal, UT 84078-1956
Phone: (435) 789-1165
Fax: (435) 789-1169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8760465-1206 (UT)

Record details

NPI number1679906481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESAugust 15, 2013
Mailing address379 N 500 W, Suite 1a, Vernal, UT 84078-1956

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northeastern Utah Medical Group — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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