Individual provider Active NPI

Angela M Potter, RPA-C

  • Medical Physician Assistant
  • Arcade, NY
National Provider Identifier
1811977317
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010849 Issued in NY
Practice address
401 Main St
Arcade, NY 14009-1113
Phone
(585) 492-5088
NPI assigned
Jan 19, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010849 NY Primary

Addresses

Primary practice location

401 Main St
Arcade, NY 14009-1113

Mailing address

401 Main St
Arcade, NY 14009-1113
Phone (585) 492-5088

Other names 1

  • Angela M Jarnot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000107 NY Practitioner - Physician Assistant 8729000484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming CountyGroup PAC ID 9335118967, 40 clinicians

Practice addresses (Care Compare)

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-2233

401 Main St
Arcade, NY 14009-1113
Phone 58549250881663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010849NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Current Accepting new patients
Wyoming County CurrentSince Jul 30, 2022 Accepting new patients
Wyoming County Current Accepting new patients
Wyoming County County of Wyoming CurrentSince Jul 30, 2022 Accepting new patients
Wyoming County Current Accepting new patients

Locations

401 Main St
Arcade, NY 14009
Phone (585) 492-5088

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1811977317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "ARCADE",
            "state": "NY",
            "postal_code": "140091113",
            "telephone_number": "585-492-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "ARCADE",
            "state": "NY",
            "postal_code": "140091113",
            "telephone_number": "585-492-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JARNOT",
            "middle_name": "M",
            "credential": "RPAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcade, NY

Sources for this page

Verify at the official NPI Registry.