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

Susan Ann Potter, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1104311638

Susan Ann Potter, AGACNP-BC is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
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Practice location Address checks out

51 N 39th St
Philadelphia, PA 19104-2640
Phone: (215) 662-9198
Fax: (215) 243-4649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP018107 (PA)

Record details

NPI number1104311638
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESJune 27, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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