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WHITNEY ANNE POTHARLA APNP
NPI 1336534056
Nurse Practitioner - Family in Menomonee Falls, WI

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
W129N7055 NORTHFIELD DR, BUILDING A, SUITE 203, MENOMONEE FALLS, WI 53051(262) 253-7155(262) 253-7140 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Whitney Anne Potharla Apnp NPPES

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

WHITNEY ANNE POTHARLA APNP (NPI 1336534056) is an individual family provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (6299-33) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336534056
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWHITNEY ANNE POTHARLACredential: APNP
Location AddressW129N7055 NORTHFIELD DR, BUILDING A, SUITE 203Menomonee Falls, WI 53051-0538
Mailing AddressW129n7055 Northfield Dr, Building A, Suite 203Menomonee Falls, WI 53051-0538 · (262) 253-7155 · Fax (262) 253-7140
Phone(262) 253-7155
Fax(262) 253-7140
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2015
✔ NPI 1336534056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 6299-33
W129N7055 NORTHFIELD DR, Menomonee Falls, WI 53051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

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

Whitney Anne Potharla Apnp 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 ID6103146105
PECOS Enrollment IDI20150514001510
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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services40 patients
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.
39 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services28 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
27 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims162 services$4.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims30 services$0.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers42 claims42 services$181.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LISA COOK PA
Physician Assistant
W129N7055 NORTHFIELD DR, BLDG A, STE 203
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-7155
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Clinic/Center (Radiology)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-5305
DANIEL BRUSS
Physical Therapist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-5400
JAMIE BONORIS
Nurse Practitioner (Family)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 805-7000
SCOTT C HICKS M.D.
Orthopaedic Surgery
W129N7055 NORTHFIELD DR, ORTHOPAEDIC SURGERY
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-5400
ALEXANDER R HENDRICKSON O.T.
Occupational Therapist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (608) 252-2000
DR. TAMARA CARR STRUEBING PHARMD
Pharmacist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 777-7097
MS. SUZANNE E. MOSER LCSW
Social Worker (Clinical)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 805-3666

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 Whitney Potharla's NPI number?

The NPI number for Whitney Potharla is 1336534056. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Whitney Potharla located?

Whitney Potharla practices at W129n7055 Northfield Dr Building A, Suite 203, Menomonee Falls, WI 53051. The listed phone number is (262) 253-7155.

What is Whitney Potharla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Whitney Potharla enrolled in Medicare?

Yes. Whitney Potharla 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.

What insurance does Whitney Potharla accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Whitney Potharla 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 Whitney Potharla affiliated with any hospitals?

According to CMS data, Whitney Potharla is affiliated with Waukesha Memorial Hospital, St Josephs Community Hospital West Bend, Community Memorial Hospital, Holy Family Memorial and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Whitney Potharla was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.