CONNIE E POETTER (MD) – Geriatric Psychiatry Physician, NPI 1407019383

CONNIE E POETTER (MD) is a healthcare provider. based in Lakeland, Florida. specializing in PSYCHIATRY, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME105257 (FL). The NPI Number for CONNIE E POETTER (MD) is 1407019383

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE E POETTER (MD)
NPI
1407019383
Phone
(863) 687-1100
Address
1324 Lakeland Hills Blvd
Enumeration Date
9 July 2008
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8636871100
Graduation Year
2007 (19 years ago)
PAC ID
7214181999
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20130205000185
Address ID
FL338054543LA1324XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for CONNIE E POETTER (MD)

  • 1324 Lakeland Hills Blvd

    Lakeland, FL 338054543

    Phone: (863) 687-1100

    Type: Location

  • 6938 MEDICAL VIEW LN

    ZEPHYRHILLS, FL 335426602

    Phone: (813) 780-2550

    Fax: (813) 780-3012

    Type: Location

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: 2013-02-05

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
I20130205000185IPsychiatryFLTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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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: 8325952914View full group profile

Reviews

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Frequently asked questions

What identifier follows CONNIE E POETTER (MD) across health systems?
The NPI 1407019383 uniquely identifies CONNIE E POETTER (MD) in U.S. healthcare data.
Should I treat CONNIE E POETTER (MD) as an active provider?
Patients and plans typically see CONNIE E POETTER (MD) as active in the national extract.
Which specialty label fits CONNIE E POETTER (MD)?
NPPES ties CONNIE E POETTER (MD) to Geriatric Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CONNIE E POETTER (MD)?
CONNIE E POETTER (MD) is associated with Lakeland, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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