DR. JOHN D NOLTE (MD) – Obstetrics & Gynecology Physician, NPI 1194786095

DR. JOHN D NOLTE (MD) is a healthcare provider. based in Roosevelt, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 3625521205 (UT). The NPI Number for DR. JOHN D NOLTE (MD) is 1194786095

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN D NOLTE (MD)
NPI
1194786095
Phone
(435) 722-3971
Address
210 W 300 N 75-3
Enumeration Date
30 March 2006
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4357224691
Graduation Year
1994 (32 years ago)
PAC ID
8628016300
Group Practice PAC ID
0244131944
Professional Enrollment ID
I20050422000324
Address ID
UT840662336RO250XX300X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

357 OBSTETRICS/GYNECOLOGY in UT

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Provider Addresses for DR. JOHN D NOLTE (MD)

  • West 300 North, Roosevelt, Duchesne County, Utah, 84066, United States

    ROOSEVELT, UT 84066

    Phone: (435) 722-3971

    Fax: (435) 722-6104

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($58).

Total Amount

$137

General + Research + Ownership

Payments

8

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050422000324IObstetrics/GynecologyUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244131944View full group profile
NameSpecialtyState
General SurgeryAK
Pediatric MedicineUT
Physician AssistantUT
Family PracticeUT
Nurse PractitionerUT
P A T H O L O G YIL
Family PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Can I verify DR. JOHN D NOLTE (MD) with an NPI only?
You can start verification with NPI 1194786095 for DR. JOHN D NOLTE (MD), then check state licensing separately.
Does CMS list DR. JOHN D NOLTE (MD) as active?
Yes — DR. JOHN D NOLTE (MD) is active in the NPI listing used on this page.
What is DR. JOHN D NOLTE (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. JOHN D NOLTE (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN D NOLTE (MD) based?
DR. JOHN D NOLTE (MD) is tied to Roosevelt, Utah in the data we show; additional addresses may exist on the full record.
Why does DR. JOHN D NOLTE (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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