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KIMBERLY A POTESTIVO PA-C
NPI 1760691026
Physician Assistant in Bad Axe, MI

Active since May 22, 2007PECOS Enrolled
1142 S VAN DYKE RD STE 100, BAD AXE, MI 48413(899) 269-7445(989) 269-7490 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly A Potestivo Pa-c NPPES

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

KIMBERLY A POTESTIVO PA-C (NPI 1760691026) is an individual physician assistant in Bad Axe, Michigan, licensed in Michigan (5601005549) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760691026
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY A POTESTIVOCredential: PA-C
Location Address1142 S VAN DYKE RD STE 100Bad Axe, MI 48413-9800
Mailing Address1142 S Van Dyke Rd Ste 100Bad Axe, MI 48413-9800 · (989) 926-9874 · Fax (899) 269-7490
Phone(899) 269-7445
Fax(989) 269-7490
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1760691026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601005549✔ Licensed in AZ · 3528
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.
1142 S VAN DYKE RD STE 100, Bad Axe, MI 48413
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Potestivo Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48413 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 Kimberly Potestivo's NPI number?

The NPI number for Kimberly Potestivo is 1760691026. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kimberly Potestivo located?

Kimberly Potestivo practices at 1142 S Van Dyke Rd Ste 100, Bad Axe, MI 48413. The listed phone number is (899) 269-7445.

What is Kimberly Potestivo's specialty?

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

Is Kimberly Potestivo enrolled in Medicare?

Yes. Kimberly Potestivo is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Potestivo accept?

Health plans from McLaren Health Plan Community list Kimberly Potestivo 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 Kimberly Potestivo was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.