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

Tina L Potokar, MS, PA-C

Individual provider Physician Assistant · NPI 1225292469

Tina L Potokar, MS, PA-C is a Physician Assistant in Neenah, Wisconsin. Qualified in 2008, 18 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
18
Licensed in
MN, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1380 Tullar Rd
Neenah, WI 54956-4440
Phone: (920) 727-3480
Fax: (920) 727-3490
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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 3418 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 10438 (MN)

Record details

NPI number1225292469
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2008
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Neenah