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

Mr. Samuel Weston Potter, FNP-C

Individual provider Family Nurse Practitioner · NPI 1407563109

Mr. Samuel Weston Potter, FNP-C is a Nurse Practitioner in Magna, Utah. Qualified in 2022, 4 years ago. Practices with Exodus Healthcare Network PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3665 S 8400 W
Magna, UT 84044-4907
Phone: (801) 250-9638
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7664963-4405 (UT)

Record details

NPI number1407563109
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Exodus Healthcare Network Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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