Leland Charles Potter, MSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

A674180300 Issued in MN

Practice address

20090 Polk St NW
Elk River, MN 55330-2064

Phone

(218) 531-9669

Fax

(855) 761-1441

NPI assigned

Feb 1, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1396559357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20090 POLK ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302064",
            "telephone_number": "218-531-9669",
            "fax_number": "855-761-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20090 POLK ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302064",
            "telephone_number": "218-531-9669",
            "fax_number": "855-761-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LELAND",
        "middle_name": "CHARLES",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "A674180300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA HEALTHCARE PROGRAMS - UMPI",
            "identifier": "A674180300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Marie Pikula, MT
• Aaron Pinion, DO
• Britley Diane Plautz
• Armanee Cashmarae Porter
• Emily Portis
• Power Within Chiropractic of Elk River
• Jelsie Rae Prater
• Lisa Kay Prater
• Chakiira Delania Price
• Rachel Puffe, PHARMD

• Case Manager/Care Coordinator in Elk River, MN
• Providers in Elk River, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.