Individual provider Active NPI

Amy Michelle Potter, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1104110469
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
276337 Issued in NY
Practice address
1704 Llano St Ste B
St B
Santa Fe, NM 87505-5415
Phone
(505) 401-6383
NPI assigned
Jun 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 276337 NY Primary

Addresses

Primary practice location

1704 Llano St Ste B
St B
Santa Fe, NM 87505-5415

Mailing address

807 Washington St SE
Albuquerque, NM 87108-4443
Phone (505) 401-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, NC, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150128000526 NY Practitioner - Family Practice 8123342839 Reassigns benefits to 3 organizations
I20211124000714 OH Practitioner - Family Practice 8123342839 Reassigns benefits to 1 organization
I20230103001267 NC Practitioner - Family Practice 8123342839 Reassigns benefits to 1 organization
I20240830003485 OR Practitioner - Family Practice 8123342839 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276337NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Current Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Nov 1, 2021 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 11, 2016 Accepting new patients
University of Rochester CurrentSince Nov 22, 2014 Accepting new patients
Highland Hospital of Rochester Family Medicine CurrentSince Jul 11, 2016 Accepting new patients
Planned Parenthood of Central and Western New York, Inc CurrentSince Jul 1, 2017 Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Nov 1, 2021 Accepting new patients
University of Rochester CurrentSince Nov 22, 2014 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

601 Elmwood Ave
#278980
Rochester, NY 14642
Phone (585) 768-2620

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540

55 Barrett Dr
Webster, NY 14580
Phone (585) 758-0750

444 W Exchange St
Akron, OH 44302
Phone (330) 535-2671

25350 Rockside Rd
Ste 200
Bedford, OH 44146

25350 Rockside Rd
Bedford Hts, OH 44146
Phone (440) 232-8381

25350 Rockside Rd
Ste 100
Cleveland, OH 44146
Phone (216) 961-8804

3255 E Main St
Columbus, OH 43213
Phone (614) 222-3531

384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1104110469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WASHINGTON ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084443",
            "telephone_number": "505-401-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B",
            "address_2": "ST B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "505-401-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-04",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.