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Dr. Mandy M Potter , DO

Pediatrics β€’ Rockford, MI

Active NPI 1588959878 Individual Practitioner Female Practitioner
Practice location in NPPES

4685 Belding Rd Ne
Rockford, MI 49341

Call 6162523100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4685 Belding Rd Ne

Rockford, MI 49341

Telephone 6162523100
Fax 6162523120
Organization at the Same NPPES Address or Phone
Certified Emergency Medicine Specialists, Pc Facility NPI 1104985001

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Camp Lejeune, NC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Potter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Potter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rockford and Michigan

7 active clinicians are listed under Pediatrics with a practice address in Rockford, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0102203220

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20180813002647

Enrollment State Jurisdiction

MI

PECOS Control ID

8820346505

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

100 Brewster Blvd, Naval Hospital

Camp Lejeune, NC 285472538

Phone: 9104504161

100 Brewster Blvd, Naval Hospital

Camp Lejeune, NC 285472538

Phone: 9104504161

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1205890605

Doctor of Osteopathic Medicine (D.O.)

Dr. Marc Helzer , MD

Family Medicine

NPI 1144249053

Doctor of Medicine (M.D.)

Lori Nieboer , PA-C

Physician Assistant - Medical

NPI 1174810667

Physician Assistant (Certified)

Dr. Jan Rajlich , MD

Family Medicine

NPI 1386871846

Doctor of Medicine (M.D.)

Dawn Sackett , PA-C

Physician Assistant

NPI 1518999440

Physician Assistant (Certified)

Janay Warner , PA-C

Physician Assistant

NPI 1811061393

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 13, 2019

Registered at 4685 BELDING RD NE, ROCKFORD, MI 49341 (Tel: 6162523100)

πŸ“
Updated Business Mailing Address February 13, 2019

Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606 (Tel: 6162523243)

βœ…
NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 06, 2017

Registered at 100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 285472538 (Tel: 9104504161)

πŸ“
Business Mailing Address (Initial Record) January 06, 2017

Registered at 100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 285472538 (Tel: 9104504161)

πŸ‘€
Provider Name / Credentials (Initial Record) January 06, 2017

Recorded as MANDY POTTER, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Pediatrics (license number reported to NPPES: VA 0102203220)

🟒
Initial NPI Registration & Enumeration June 14, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588959878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2011
Last Update: February 13, 2019
Sole Proprietor: No

Other Pediatrics Specialists in Rockford

Healthcare providers in Rockford

Mailing Address

5900 Byron Center Ave Sw

Wyoming, MI 495199606

Phone: 6162523243

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.