Individual provider Active NPI

Danielle Pottkotter, NP

  • Family Nurse Practitioner
  • Portland, IN
National Provider Identifier
1013884782
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017297A Issued in IN
Practice address
428 W Votaw St
Portland, IN 47371-1302
Phone
(260) 726-8822
NPI assigned
Oct 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71017297A IN Primary

Addresses

Primary practice location

428 W Votaw St
Portland, IN 47371-1302

Mailing address

428 W Votaw St
Portland, IN 47371-1302
Phone (260) 726-8822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpottkotter@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126002494 IN Practitioner - Nurse Practitioner 5294227120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

428 W Votaw St
Portland, IN 47371-1302
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71017297AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Family CurrentSince Dec 15, 2025 Accepting new patients

Locations

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

428 W Votaw St
Portland, IN 47371
Phone (260) 726-8822

Interoperability endpoints

  • Direct secure messaging: dpottkotter@direct.iuhealth.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1013884782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711302",
            "telephone_number": "260-726-8822",
            "fax_number": "317-222-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711302",
            "telephone_number": "260-726-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTKOTTER",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017297A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpottkotter@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "428 W Votaw St",
            "city": "Portland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473711302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

Verify at the official NPI Registry.