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COURTNEY POTEMPA PA-C
NPI 1265405021
Physician Assistant in Chicago, IL

Active since February 10, 2006PECOS Enrolled
3934 N LINCOLN AVE, CHICAGO, IL 60613(773) 549-1700 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2019, Dec 5, 2018 (2 updates tracked since 2018).

About Courtney Potempa Pa-c NPPES

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

COURTNEY POTEMPA PA-C (NPI 1265405021) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085002257) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265405021
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY POTEMPACredential: PA-C
Location Address3934 N LINCOLN AVEChicago, IL 60613-2432
Mailing Address4311 N Sheridan Rd Apt 300Chicago, IL 60613-5465 · (630) 854-9646
Phone(773) 549-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJune 5, 20192 updates tracked since enumeration
✔ NPI 1265405021 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 IL · 085002257
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.
3934 N LINCOLN AVE, Chicago, IL 60613
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Potempa Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769426501
PECOS Enrollment IDI20050614000023
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 60613 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 2

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

SOFT LANDING INTERVENTIONS, LLC
Clinic/Center (Methadone)
3934 N LINCOLN AVE
CHICAGO, IL 60613
Cook County (630) 261-9220
IU-LUEN JENG LCPC, ATR
Counselor (Mental Health)
3934 N LINCOLN AVE
CHICAGO, IL 60613
Cook County (773) 549-1700

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 Courtney Potempa's NPI number?

The NPI number for Courtney Potempa is 1265405021. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Courtney Potempa located?

Courtney Potempa practices at 3934 N Lincoln Ave, Chicago, IL 60613. The listed phone number is (773) 549-1700.

What is Courtney Potempa's specialty?

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

Is Courtney Potempa enrolled in Medicare?

Yes. Courtney Potempa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Potempa was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.