Individual provider Active NPI

Claire Pauline Potocki, NP-C

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1942798319
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704306903 Issued in MI
Practice address
2800 Stone School Rd
Ann Arbor, MI 48104-7434
Phone
(734) 973-9167
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704306903 MI
Nurse Practitioner 363L00000X 4704306903 MI Primary

Addresses

Primary practice location

2800 Stone School Rd
Ann Arbor, MI 48104-7434

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

1021 Karl Greimel Dr
Brighton, MI 48116-9465
Phone (810) 220-3766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince May 10, 2022 Accepting new patients
Regents of the University of Michigan Nurse Practitioner CurrentSince May 10, 2022 Accepting new patients
Epic Primary Care II PLLC Nurse Practitioner CurrentSince Nov 28, 2018 Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

2800 Stone School Rd
Ann Arbor, MI 48104
Phone (734) 971-2665

18254 Livernois Ave
Ste 1
Detroit, MI 48221
Phone 24833640008001

Interoperability endpoints

  • Direct secure messaging: cpotocki557432@direct.hfhs.org

Organizations & group practices 3

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1942798319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STONE SCHOOL RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047434",
            "telephone_number": "734-973-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Karl Greimel Dr",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481169465",
            "country_code": "US",
            "telephone_number": "810-220-3766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTOCKI",
        "first_name": "CLAIRE",
        "middle_name": "PAULINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306903",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704306903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.