Individual provider Active NPI

Patricia Pottinger, APRN NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1306705256
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.034442 Issued in IL
Practice address
5402 Lane Place Dr Apt a
Williamsburg, VA 23188-1965
Phone
(202) 571-3538
Fax
(202) 571-3538
NPI assigned
Jan 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.034442 IL Primary

Addresses

Primary practice location

5402 Lane Place Dr Apt a
Williamsburg, VA 23188-1965

Mailing address

5402 Lane Place Dr Apt a
Williamsburg, VA 23188-1965
Phone (202) 571-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260310000512 IL Practitioner - Nurse Practitioner 3274016159 Reassigns benefits to 1 organization
I20260505000115 VA Practitioner - Nurse Practitioner 3274016159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bespoke PsychiatryGroup PAC ID 3274951744, 51 clinicians

Practice addresses (Care Compare)

1203 W Augusta Blvd
Suite 1
Chicago, IL 60642-4327
Phone (773) 248-2255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.034442ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Psychiatry CurrentSince Feb 1, 2026 Accepting new patients

Locations

1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255

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.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1306705256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 LANE PLACE DR APT A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881965",
            "telephone_number": "202-571-3538",
            "fax_number": "202-571-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 LANE PLACE DR APT A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881965",
            "telephone_number": "202-571-3538",
            "fax_number": "202-571-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTINGER",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "APRN NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.034442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.