MICHAEL FRANK POTNEK
NPI 1760966170
Nurse Practitioner - Primary Care in Milwaukee, WI

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment
210 W CAPITOL DR, MILWAUKEE, WI 53212(414) 727-6320 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 12, 2020, Jan 16, 2020, Sep 20, 2018 (3 updates tracked since 2018).

About Michael Frank Potnek NPPES

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

MICHAEL FRANK POTNEK (NPI 1760966170) is an individual primary care provider in Milwaukee, Wisconsin, licensed in Wisconsin (8715) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760966170
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMICHAEL FRANK POTNEK
Location Address210 W CAPITOL DRMilwaukee, WI 53212-1123
Mailing Address210 W Capitol DrMilwaukee, WI 53212-1123 · (414) 727-6320
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 20, 2018
Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1760966170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WI · 8715
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 8715 (WI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 8715 (WI)
210 W CAPITOL DR, Milwaukee, WI 53212

Accepted 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

Michael Frank Potnek 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 ID7416290457
PECOS Enrollment IDI20190515001291
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.

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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.

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.

Counselor
210 W CAPITOL DR
MILWAUKEE, WI 53212
Social Worker (Clinical)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Psychiatry & Neurology (Psychiatry)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Social Worker (Clinical)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Counselor (Professional)
210 W CAPITOL DR
MILWAUKEE, WI 53212

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 Michael Potnek's NPI number?

The NPI number for Michael Potnek is 1760966170. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Michael Potnek located?

Michael Potnek practices at 210 W Capitol Dr, Milwaukee, WI 53212. The listed phone number is (414) 727-6320.

What is Michael Potnek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Michael Potnek enrolled in Medicare?

Yes. Michael Potnek 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 Michael Potnek accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and Quartz list Michael Potnek 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 Michael Potnek affiliated with any hospitals?

According to CMS data, Michael Potnek is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Michael Potnek was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.