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

Stefania Potter

Individual provider Registered Nurse · NPI 1104616929

Stefania Potter is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York and Wisconsin.

Years since qualifying
1
Licensed in
NY, WI
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

32 Union Sq E Ste 300
New York, NY 10003-3246
Phone: (929) 684-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 407916 (NY)
Registered Nurse Taxonomy 163W00000X · Licence N17402 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 1116011-30 (WI)

Record details

NPI number1104616929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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