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DR. MANDY M POTTER D.O.
NPI 1588959878
Pediatrics in Rockford, MI

Active since June 14, 2011PECOS Enrolled
4685 BELDING RD NE, ROCKFORD, MI 49341(616) 252-3100(616) 252-3120 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2019, Jan 6, 2017 (2 updates tracked since 2017).

About Dr. Mandy M Potter D.o. NPPES

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

DR. MANDY M POTTER D.O. (NPI 1588959878) is an individual pediatrics provider in Rockford, Michigan, licensed in Virginia (0102203220) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1588959878
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MANDY M POTTERCredential: D.O.
Location Address4685 BELDING RD NERockford, MI 49341
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Phone(616) 252-3100
Fax(616) 252-3120
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1588959878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0102203220
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4685 BELDING RD NE, Rockford, MI 49341
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Brewster Blvd, Naval HospitalCamp Lejeune, NC 28547-2538 · Phone (910) 450-4161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mandy M Potter D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mandy Potter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Hospital
9.5 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010
Mclaren Greater Lansing
57 mi
Gynecologic Oncology
1515 LAKE LANSING RD, SUITE O
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 167 clinicians in this Medicare group
NPI 1265600902 (517) 372-9967

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49341 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 7

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

DR. MARC ALAN HELZER M.D.
Family Medicine
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
LORI SUE NIEBOER P.A.-C
Physician Assistant (Medical)
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
DANIEL B CUNNINGHAM D.O.
Family Medicine
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
DR. JAN RAJLICH M.D.
Family Medicine
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
DAWN M SACKETT PAC
Physician Assistant
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
MRS. JANAY ANN WARNER PA-C
Physician Assistant
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100
SUSAN JOHNSON MD
Pediatrics
4685 BELDING RD NE
ROCKFORD, MI 49341
Kent County (616) 252-3100

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 Mandy Potter's NPI number?

The NPI number for Mandy Potter is 1588959878. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Mandy Potter located?

Mandy Potter practices at 4685 Belding Rd NE, Rockford, MI 49341. The listed phone number is (616) 252-3100.

What is Mandy Potter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mandy Potter enrolled in Medicare?

Yes. Mandy Potter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mandy Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Potter reassigns Medicare benefits to 2 organizations: Metropolitan Hospital (Grand Rapids, MI) and Mclaren Greater Lansing (Lansing, MI). 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 Mandy Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandy Potter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mandy Potter 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.

When was this NPI record last updated?

The NPPES record for Mandy Potter was last updated on February 13, 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.