Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Potter

Individual provider Physician Assistant · NPI 1841828514

Nicole Potter is a Physician Assistant in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Syracuse Community Health Center Inc, a 28-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

819 S Salina St
Syracuse, NY 13202-3570
Phone: (153) 476-7921
Fax: (315) 234-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025698 (NY)

Record details

NPI number1841828514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESAugust 25, 2021
Certification dateOctober 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Syracuse Community Health Center Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Syracuse