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JAMES G POTTER PA-C
NPI 1669470845
Physician Assistant in Superior, WI

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
3500 TOWER AVENUE, SUPERIOR, WI 54880(715) 817-7100 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James G Potter Pa-c NPPES

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

JAMES G POTTER PA-C (NPI 1669470845) is an individual physician assistant in Superior, Wisconsin, licensed in Wisconsin (3621-23) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Marys Hospital Superior, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1669470845
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES G POTTERCredential: PA-C
Location Address3500 TOWER AVENUESuperior, WI 54880-5335
Mailing AddressEssentia Health Duluth Clinic Mcl2cred, 400 East Third StreetDuluth, MN 55805-1951 · (218) 786-1183
Phone(715) 817-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 12, 2005
Last NPPES UpdateAugust 9, 2016
✔ NPI 1669470845 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 WI · 3621-23
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.
3500 TOWER AVENUE, Superior, WI 54880
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Other Identifiers 5

Medicare UPINS07735
Medicaid42908100WI
Medicare PIN036
Other1018475Preferredone
Medicare PINP00302454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

James G Potter Pa-c 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 ID2062453129
PECOS Enrollment IDI20150908003066
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.

Hospital Affiliations CMS Care Compare

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

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54880 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

MICHAEL JOHN STERNS M.D.
Family Medicine
3500 TOWER AVENUE, EH ST MARY'S SUPERIOR CLINIC
SUPERIOR, WI 54880
Douglas County (715) 817-7100
CHIZOBA NICOLE OKECHUKWU M.D.
Family Medicine
3500 TOWER AVENUE
SUPERIOR, WI 54880
Douglas County (715) 817-7100

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 James Potter's NPI number?

The NPI number for James Potter is 1669470845. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is James Potter located?

James Potter practices at 3500 Tower Avenue, Superior, WI 54880. The listed phone number is (715) 817-7100.

What is James Potter's specialty?

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

Is James Potter enrolled in Medicare?

Yes. James Potter 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 James Potter accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list James 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.

Is James Potter affiliated with any hospitals?

According to CMS data, James Potter is affiliated with St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for James Potter was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.