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KELLY M POTOCHNY PAC
NPI 1154390706
Physician Assistant in Flint, MI

Active since March 16, 2006PECOS Enrolled
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532(810) 342-4917(810) 342-1335 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly M Potochny Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY M POTOCHNY PAC (NPI 1154390706) is an individual physician assistant in Flint, Michigan, licensed in Michigan (5601003490) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154390706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY M POTOCHNYCredential: PAC
Location Address401 S BALLENGER HWY, ATTN SURGICAL SERVICESFlint, MI 48532-3638
Mailing Address401 S Ballenger Hwy, Attn Surgical ServicesFlint, MI 48532-3638 · (810) 342-4917 · Fax (810) 342-1335
Phone(810) 342-4917
Fax(810) 342-1335
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateOctober 9, 2012
✔ NPI 1154390706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003490
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
401 S BALLENGER HWY, Flint, MI 48532
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Other Names 1

Former Name (1)Kelly M Linkowski

Other Identifiers 2

OtherP00000563MI · Travelers
Medicare ID-Type Unspecified0N94260007MI · Wps

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Potochny Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DUNYUE LU M.D.
Psychiatry & Neurology (Psychiatry)
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-4419
REBECCA S MOODY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
PONGCHAYUT SURAPIPITH MD
Surgery
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-1000
NICOLE ELISE WESLEY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917
MARY ELLEN RINKS P.T.
Physical Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2362
MCLAREN FLINT
Hospitalist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
CATHERINE TALLEY
Occupational Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
BRENT ALLEN SCOTT CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Potochny's NPI number?

The NPI number for Kelly Potochny is 1154390706. It was assigned to this individual provider in the NPPES registry on March 16, 2006. The provider is also known as Kelly M Linkowski.

Where is Kelly Potochny located?

Kelly Potochny practices at 401 S Ballenger Hwy Attn Surgical Services, Flint, MI 48532. The listed phone number is (810) 342-4917.

What is Kelly Potochny's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Potochny enrolled in Medicare?

Yes. Kelly Potochny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Potochny was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.