SUSAN B POTTER (PA-C) – Family Medicine Physician, NPI 1871694166

SUSAN B POTTER (PA-C) is a healthcare provider. based in Carmichael, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10542 (CA). The NPI Number for SUSAN B POTTER (PA-C) is 1871694166

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN B POTTER (PA-C)
NPI
1871694166
Phone
(916) 536-2500
Address
6555 COYLE AVE
Enumeration Date
26 September 2006
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9163514800
Graduation Year
1978 (48 years ago)
PAC ID
3173695814
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20080711000486
Address ID
CA956309594FO1730XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for SUSAN B POTTER (PA-C)

  • 6555 COYLE AVE

    CARMICHAEL, CA 956080302

    Phone: (916) 536-2500

    Type: Location

  • 7115 GREENBACK LN

    FL 3

    CITRUS HEIGHTS, CA 956216133

    Phone: (916) 536-3540

    Fax: (916) 536-2455

    Type: Location

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080711000486IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes152115$0
99213Established patient office or other outpatient visit, 20-29 minutes13397$0
99203New patient office or other outpatient visit, 30-44 minutes3736$0
99215Established patient office or other outpatient visit, 40-54 minutes2722$0
G0008Administration of influenza virus vaccine2525$0
View full utilization report →

Insurance plans in this area (ZIP 95608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800661View full group profile

Reviews

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Frequently asked questions

Where can patients find SUSAN B POTTER (PA-C)'s NPI?
You can confirm SUSAN B POTTER (PA-C) with NPI 1871694166; it appears in the national provider directory.
Is SUSAN B POTTER (PA-C)'s NPI currently valid?
The extract we use shows SUSAN B POTTER (PA-C) as active.
What kind of provider is SUSAN B POTTER (PA-C)?
The page reflects Family Medicine Physician for SUSAN B POTTER (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN B POTTER (PA-C)?
The page summarizes Carmichael, California for SUSAN B POTTER (PA-C); expand the address list for detail.
Is SUSAN B POTTER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1871694166. Always confirm identity and privileges with the practice and licensing boards.

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