Individual provider Active NPI

Jennifer Potthoff, RD, LDN

  • Registered Dietitian
  • Erie, PA
National Provider Identifier
1427437896
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005335 Issued in PA
Practice address
2501 W 12TH St
Erie, PA 16505-4527
Phone
(814) 461-6626
Fax
(814) 871-6251
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005335 PA Primary

Addresses

Primary practice location

2501 W 12TH St
Erie, PA 16505-4527

Mailing address

2501 W 12TH St
Erie, PA 16505-4527
Phone (814) 461-6626

Other practice location 1

450 Erie St
Edinboro, PA 16412-2200
Phone (814) 779-3128

Other practice location 2

4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 899-7000

Other practice location 3

2501 W 12th St Ste C10
Erie, PA 16505-4527
Phone (814) 580-5600

Other names 1

  • Jennifer D'Aurora Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpotthoff151328@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200826000307 PA Practitioner - Registered Dietitian Or Nutrition Professional 1254758014 Reassigns benefits to 3 organizations
I20260430002593 NY Practitioner - Registered Dietitian Or Nutrition Professional 1254758014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

2501 W 12TH St
C4 Millcreek Family Practice
Erie, PA 16505-4527
Phone (814) 461-6626

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Aug 1, 2020 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince May 14, 2026 Accepting new patients
Lake Erie Medical Group PC CurrentSince Jun 14, 2023 Accepting new patients
Millcreek Family Practice and Internal Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

158 E Main St
Westfield, NY 14787
Phone (716) 326-4686

155 E State St
Albion, PA 16401
Phone (814) 756-4917

450 Erie St
Edinboro, PA 16412
Phone (814) 725-3750

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

2501 W 12th St
Erie, PA 16505
Phone (814) 461-6626

2501 W 12th St
Ste C4
Erie, PA 16505
Phone (814) 461-6626

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

2501 W 12th St
Ste C10
Erie, PA 16505
Phone (814) 452-7879

Organizations & group practices 5

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1427437896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-461-6626",
            "fax_number": "814-871-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-461-6626",
            "fax_number": "814-871-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Erie St",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164122200",
            "country_code": "US",
            "telephone_number": "814-779-3128",
            "fax_number": "814-774-0915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Buffalo Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165102304",
            "country_code": "US",
            "telephone_number": "814-899-7000",
            "fax_number": "814-899-0334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 W 12th St Ste C10",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054527",
            "country_code": "US",
            "telephone_number": "814-580-5600",
            "fax_number": "814-455-2584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTHOFF",
        "first_name": "JENNIFER",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpotthoff151328@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2501 W 12th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "D'AURORA",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.