Active NPI
Mary Claire Potter
- Pediatrics Physician
- Milwaukee, WI
National Provider Identifier
1003666454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 100991-851
- Practice address
- 999 N 92ND St Ste 730
Milwaukee, WI 53226-4875 - Phone
- (414) 266-6800
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 100991-851 | WI | Primary |
Addresses
Primary practice location
999 N 92ND St Ste 730
Milwaukee, WI 53226-4875
Mailing address
999 N 92ND St Ste 730
Milwaukee, WI 53226-4875
Phone (414) 266-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812002033 | WI | Order and Referring Only - Pediatric Medicine | 0648718452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100991-851 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical College of Wisconsin Affiliated Hospitals | Student in an Organized Health Care Education/Training Program | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
- NPI 1164365714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1003666454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N 92ND ST STE 730",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264875",
"telephone_number": "414-266-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N 92ND ST STE 730",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264875",
"telephone_number": "414-266-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "MARY",
"middle_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "100991-851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.