NPIMap

Individual provider Active NPI

Esther Potti, MD

  • Family Medicine Physician
  • Bagley, MN
National Provider Identifier
1053381798
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47557 Issued in MN
Practice address
123 4TH St NW
Bagley, MN 56621-8306
Phone
(218) 694-2384
Fax
(218) 694-6687
NPI assigned
Jan 25, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47557 MN Primary

Addresses

Primary practice location

123 4TH St NW
Bagley, MN 56621-8306

Mailing address

123 4TH St NW
Bagley, MN 56621-8306
Phone (218) 694-2384

Other identifiers 1

IdentifierTypeStateIssuer
951544500MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address epotti2724012@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000764 MN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5395777635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1656 Central St W
Bagley, MN 56621-4357
Phone (218) 694-2384

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47557MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Mar 6, 2012 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine Current Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Mar 6, 2012 Accepting new patients
Clearwater County Memorial Hospital Past Accepting new patients
Cornerstone Nursing and Rehab Center, Inc Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

123 4th St NW
Bagley, MN 56621
Phone (218) 694-2384

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

22 Elm St
Clearbrook, MN 56634
Phone (218) 694-3124

22 Elm St
#67
Clearbrook, MN 56634
Phone (218) 776-3184

Interoperability endpoints

  • Direct secure messaging: epotti2724012@direct.sanfordhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
ClaBagley, MN, CCN 245307 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2019
Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1053381798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 4TH ST NW",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218306",
            "telephone_number": "218-694-2384",
            "fax_number": "218-694-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 4TH ST NW",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218306",
            "telephone_number": "218-694-2384",
            "fax_number": "218-694-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTI",
        "first_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951544500",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epotti2724012@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "123 4th St NW",
            "city": "Bagley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "566218306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bagley, MN

Sources for this page

Verify at the official NPI Registry.