DANIEL NOLTE (PA) – Physician Assistant, NPI 1124798855
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for DANIEL NOLTE (PA)
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
65 VILLAGE SQUARE DR STE 201
SOUTH KINGSTOWN, RI 028792569
Phone: (401) 444-7959
Fax: (401) 515-7910
Type: Location
400 Bald Hill Rd
Warwick, RI 028861617
Phone: (401) 444-7959
Fax: (401) 738-3857
Type: Location
110 ELM ST FL 3
PROVIDENCE, RI 029034626
Phone: (401) 443-4992
Fax: (401) 537-7241
Type: Mailing
400 BALD HILL RD FL 2
WARWICK, RI 028861617
Phone: (401) 738-4323
Fax: (401) 738-3857
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211020002465 | I | Physician Assistant | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 434 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 290 | 229 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 181 | 142 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 91 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 89 | 82 | $0 |
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| Pathology, Dermatology | RI | |
| - | RI | |
| D E R M A T O L O G Y | RI | |
| D E R M A T O L O G Y | RI | |
| Nurse Practitioner | RI | |
| D E R M A T O L O G Y | RI | |
| Nurse Practitioner | NH | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | RI |
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