Individual provider Active NPI

Natalie Lynn Pothen, PA-C

  • Physician Assistant
  • Saint Francis, MN
National Provider Identifier
1043005408
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15299 Issued in MN
Practice address
22978 Butterfield Dr NW
Saint Francis, MN 55070-7710
Phone
(763) 230-9248
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8387-23 WI
Physician Assistant 363A00000X 15299 MN Primary

Addresses

Primary practice location

22978 Butterfield Dr NW
Saint Francis, MN 55070-7710

Mailing address

22978 Butterfield Dr NW
Saint Francis, MN 55070-7710

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718001927 WI Practitioner - Physician Assistant 8921514894

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

Hospital & facility affiliations

  • Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15299MNMDPhysician Assistant
8387-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jun 23, 2025 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Organizations & group practices 2

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 1

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1043005408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22978 BUTTERFIELD DR NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550707710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22978 BUTTERFIELD DR NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550707710",
            "telephone_number": "763-230-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHEN",
        "first_name": "NATALIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8387-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

Verify at the official NPI Registry.