Individual provider Active NPI

Kristina Potteiger, PA-C

  • Medical Physician Assistant
  • Valley Township, PA
National Provider Identifier
1861883167
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
495 Highland Blvd Ste 104
Valley Township, PA 19320-5822
Phone
(610) 350-4150
Fax
(877) 472-1158
NPI assigned
Feb 9, 2015
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 NU Primary

Addresses

Primary practice location

495 Highland Blvd Ste 104
Valley Township, PA 19320-5822

Mailing address

846 Williamsburg Blvd
Downingtown, PA 19335-4127
Phone (240) 432-6827

Other names 1

  • Kristina Potteiger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150508000985 PA Practitioner - Physician Assistant 4789903097 Reassigns benefits to 1 organization

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kristina.potteiger@integratedhealthandwellnesscenter.chartmakerdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1861883167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 WILLIAMSBURG BLVD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354127",
            "telephone_number": "240-432-6827",
            "fax_number": "877-472-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 104",
            "city": "VALLEY TOWNSHIP",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-350-4150",
            "fax_number": "877-472-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTEIGER",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "POTTEIGER",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.