SHELBY MARIE POTKIN MD
NPI 1184184277
Ophthalmology in Bemidji, MN
About Shelby Marie Potkin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY MARIE POTKIN MD (NPI 1184184277) is an individual ophthalmology provider in Bemidji, Minnesota, licensed in California (A206239) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shelby Marie Potkin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Shelby Potkin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bemidji, MN 56601
- Reassigned Medicare billing, Minnesota enrollment
- 607 clinicians in this Medicare group
Thief River Falls, MN 56701
- Reassigned Medicare billing, Minnesota enrollment
- 219 clinicians in this Medicare group
Roseau, MN 56751
- Reassigned Medicare billing, Minnesota enrollment
- 89 clinicians in this Medicare group
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 19
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Bemidji Medical Center
Acute Care Hospitals · Bemidji, MNLifecare Medical Center
Critical Access Hospitals · Roseau, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shelby Potkin's NPI number?
The NPI number for Shelby Potkin is 1184184277. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Shelby Potkin located?
Shelby Potkin practices at 1611 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-2020.
What is Shelby Potkin's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Shelby Potkin enrolled in Medicare?
Yes. Shelby Potkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shelby Potkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Potkin reassigns Medicare benefits to 4 organizations: Sanford Health Of Northern Minnesota (Bemidji, MN), Sanford Health Network North (Thief River Falls, MN), Lifecare Medical Center (Roseau, MN) and Retina Institute Of California Medical Group, A California Medical Par (Pasadena, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Potkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Potkin accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Shelby Potkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shelby Potkin affiliated with any hospitals?
According to CMS data, Shelby Potkin is affiliated with Sanford Bemidji Medical Center and Lifecare Medical Center.
When was this NPI record last updated?
The NPPES record for Shelby Potkin was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Shelby Marie Potkin, MD · NPI 1184184277
Ophthalmology physician in Bemidji, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1184184277 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A206239 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 ANNE ST NW, Bemidji, MN 56601-5114
- **Phone:** (218) 333-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sanford Health Of Northern Minnesota (NPI 1285708438, Bemidji, MN); Sanford Health Network North (NPI 1386047355, Thief River Falls, MN); Lifecare Medical Center (NPI 1609861095, Roseau, MN); Retina Institute Of California Medical Group, A California Medical Par (NPI 1760541569, Pasadena, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland Univ, William Beaumont School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184184277) · Data from the CMS NPPES public registry.