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DR. JOHN ALGAS POTENCIANO DNP
NPI 1326313479
Nurse Practitioner - Adult Health in Albany, NY

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
747 MADISON AVE STE 201, ALBANY, NY 12208(518) 364-0648(518) 438-0282 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2023, Oct 30, 2017 (2 updates tracked since 2017).

About Dr. John Algas Potenciano Dnp NPPES

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

DR. JOHN ALGAS POTENCIANO DNP (NPI 1326313479) is an individual adult health provider in Albany, New York, licensed in New York (306009) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1326313479
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDR. JOHN ALGAS POTENCIANOCredential: DNP
Location Address747 MADISON AVE STE 201Albany, NY 12208-3809
Mailing Address747 Madison Ave Ste 201Albany, NY 12208-3809 · (518) 364-0648 · Fax (518) 438-0282
Phone(518) 364-0648
Fax(518) 438-0282
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 21, 2012
Last NPPES UpdateSeptember 4, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2023
✔ NPI 1326313479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 306009
747 MADISON AVE STE 201, Albany, NY 12208
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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 and accepts Medicare assignment

Dr. John Algas Potenciano Dnp 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.

PECOS PAC ID5496909475
PECOS Enrollment IDI20130128000294
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims510 services$29.92 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims660 services$3.26 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.54 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers31 claims31 services$39.32 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers14 claims14 services$42.74 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$3.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Potenciano's NPI number?

The NPI number for John Potenciano is 1326313479. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is John Potenciano located?

John Potenciano practices at 747 Madison Ave Ste 201, Albany, NY 12208. The listed phone number is (518) 364-0648.

What is John Potenciano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is John Potenciano enrolled in Medicare?

Yes. John Potenciano 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.

When was this NPI record last updated?

The NPPES record for John Potenciano was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.