Whitney Potharla, APNP
Family Nurse Practitioner in Menomonee Falls, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Whitney Potharla, APNP filed 1,228 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Menomonee Falls, Wisconsin, prescribing 56% generic.
- 1K
- Part D claims, 2023
- 56%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
Whitney Potharla, APNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,228 Top 22% higher than 78% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Whitney Potharla, APNP?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Wisconsin
How Family Nurse Practitioner compares to other specialties among Wisconsin providers
Family Nurse Practitioner share within Wisconsin
Family Nurse Practitioner is one of the more visible NUCC categories in Wisconsin
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Family Nurse Practitioner ABMS/AOA estimate
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Family Nurse Practitioner US NPIs
Specialty board-certified rate — Family Nurse Practitioner estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Whitney Potharla, APNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APNP credentials at W129N7055 NORTHFIELD DR, Menomonee Falls, WI, 53051, with a listed phone of (262) 253-7155. NPI 1336534056 was issued on 03/31/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Potharla most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 1,228 prescription claims written by this provider, covering 241 Medicare beneficiaries and totaling roughly $3.8 million in drug spend, split 44% brand-name and 56% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1336534056 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APNP |
| Gender | Female |
| NPI Issued | 03/31/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Whitney Potharla, APNP's current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Whitney Potharla, APNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
44% brand-name claims vs 56% generic, on 1,228 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 3,111
- Total Day Supply
- 92,556
- Brand vs Generic
- 44% brand / 56% generic
- Brand Drug Cost
- $3.8M
- Generic Drug Cost
- $20K
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.54
- Gender Split
- 74% female / 26% male
- Age Distribution
- <65: 28, 65-74: 115, 75-84: 76, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Whitney Potharla, APNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
190 claims
- Alendronate Sodium
Alendronate Sodium
95 claims
- Metformin Hcl Er 55
Metformin Hcl Er
55 claims
- Atorvastatin Calcium 43
Atorvastatin Calcium
43 claims
- Strensiq 39
Strensiq
39 claims
- Synthroid 37
Synthroid
37 claims
- Calcitriol 35
Calcitriol
35 claims
- Ozempic 35
Ozempic
35 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 190 |
| Alendronate Sodium | 95 |
| Metformin Hcl Er Metformin Hcl | 55 |
| Atorvastatin Calcium | 43 |
| Strensiq Asfotase Alfa | 39 |
| Synthroid Levothyroxine Sodium | 37 |
| Calcitriol | 35 |
| Ozempic Semaglutide | 35 |
| Trulicity Dulaglutide | 35 |
| Jardiance Empagliflozin | 32 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Whitney Potharla, APNP fits within the Family Nurse Practitioner landscape nationally.
Whitney Potharla, APNP's 1,228 claims are above the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Potharla.
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology