Active NPI 1053938134 Individual Practitioner Female Practitioner

Nicole M Woolley , PA-C

Physician Assistant • Warren, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Woolley, PA-C is a certified Physician Assistant practicing in Warren, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Nicole Woolley delivers high-quality medical care to the local community at 2223 NILES CORTLAND RD SE.

Nicole Woolley is affiliated with Optima Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2223 Niles Cortland Rd Se

Warren, OH 444843043

Telephone 3309658760

Fax 3304699706

Associated Practice Facility / Clinic

🏢 Optima Dermatology Llc Facility NPI 1831187764

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warren, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -4.3 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Warren, OH (5376 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Woolley (6 Years) 6 Yrs

Warren Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	563	79	$12.21	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	241	162	$173.12	$72.77
17000 Destruction of skin growth	147	104	$126.69	$41.21
17110 Destruction of up to 14 skin growths	101	76	$210.06	$83.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	43	$107.00	$44.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$207.36	$89.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$245.10	$102.83
17004 Destruction of precancer skin growth, 15 or more growths	29	22	$310.24	$131.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$312.38	$133.31
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$135.97	$57.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$226.49	$84.55
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	14	$249.40	$103.86
11104 Punch biopsy, first skin growth	13	12	$229.66	$93.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	787	132	$13.82	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	385	314	$172.12	$72.96
17110 Destruction of up to 14 skin growths	214	177	$229.94	$87.53
17000 Destruction of skin growth	201	178	$140.19	$41.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	95	$111.65	$45.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$224.37	$91.25
17004 Destruction of precancer skin growth, 15 or more growths	78	68	$331.14	$134.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	48	$244.32	$104.21
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$146.56	$58.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	13	$5.06	$1.06
11102 Tangential biopsy of single skin lesion	31	31	$250.56	$63.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	13	$37.35	$11.22
17111 Destruction of skin growth, 15 or more growths	23	17	$260.32	$104.89
11104 Punch biopsy, first skin growth	22	22	$289.28	$97.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$323.20	$136.50
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	12	$262.44	$102.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	613	105	$15.00	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	393	254	$100.45	$72.40
17000 Destruction of skin growth	203	147	$154.00	$43.45
17110 Destruction of up to 14 skin growths	116	101	$260.00	$82.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	92	$75.86	$44.90
11102 Tangential biopsy of single skin lesion	83	78	$238.00	$70.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$160.00	$89.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	15	$35.00	$11.26
17004 Destruction of precancer skin growth, 15 or more growths	38	33	$384.00	$128.65
11104 Punch biopsy, first skin growth	34	34	$299.00	$96.47
11103 Biopsy of related skin growth, each additional growth	32	24	$122.00	$37.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$140.00	$102.54
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$120.00	$58.02
11105 Punch biopsy, each additional skin growth	20	20	$141.00	$44.71
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	13	$1018.00	$336.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	77	$500.00	$161.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$500.00	$171.79

Medical Specialties & State Licenses

CMS Verified: 2026-05-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.006478RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA061723

Hospital & Practice Group Affiliations

Optima Dermatology Llc

987 Boardman Canfield Rd, Boardman, OH 445124222

Phone: 3309658760

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Ashley Mckee , NP-C

Nurse Practitioner - Family

NPI 1053200774

Nurse Practitioner (Certified)

Dr. Mariel Bird , DO

Dermatology

NPI 1093020133

Doctor of Osteopathic Medicine (D.O.)

Dr. John Bernat , MD

Specialist

NPI 1215923115

Doctor of Medicine (M.D.)

Casey Dickey , PA-C

Physician Assistant

NPI 1245637321

Physician Assistant (Certified)

Dr. Patrick Shannon , MD

Specialist

NPI 1316933260

Doctor of Medicine (M.D.)

Karynn Schaefer , FNP-BC

Nurse Practitioner - Family

NPI 1386594109

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

👤

Provider Name / Credentials Updated May 17, 2026

Recorded as NICOLE WOOLLEY, PA-C

📍

Updated Practice Location August 26, 2024

Registered at 2223 NILES CORTLAND RD SE, WARREN, OH 444843043 (Tel: 3309658760)

📍

Updated Business Mailing Address August 26, 2024

Registered at 111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 038012864

👤

Provider Name / Credentials Updated August 26, 2024

Recorded as NICOLE TATOMIROVICH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Physician Assistant (License #50.006478RX in OH)

📍

Updated Practice Location May 04, 2023

Registered at 5800 LANDERBROOK DR STE 100, MAYFIELD HEIGHTS, OH 441246510 (Tel: 4404430423)

📍

Updated Business Mailing Address May 04, 2023

Registered at 5800 LANDERBROOK DR STE 100, MAYFIELD HEIGHTS, OH 441246510 (Tel: 4404430423)

📍

Updated Practice Location March 16, 2021

Registered at 577 LAFAYETTE AVE, JAMESON HOSPITAL, SHARON, PA 161461174 (Tel: 7248661313)

📍

Updated Business Mailing Address March 16, 2021

Registered at 577 LAFAYETTE AVE, JAMESON HOSPITAL, SHARON, PA 161461174

👤

Provider Name / Credentials Updated March 16, 2021

Recorded as NICOLE TATOMIROVICH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Physician Assistant (License #MA061723 in PA)

✅

NPI Profile Active July 06, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2020

Registered at 577 LAFAYETTE AVE, SHARON, PA 161461174 (Tel: 7248661313)

📍

Updated Business Mailing Address July 06, 2020

Registered at 577 LAFAYETTE AVE, SHARON, PA 161461174

👤

Provider Name / Credentials Updated July 06, 2020

Recorded as NICOLE TATOMIROVICH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2020

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053938134

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2020

Last Update: May 17, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 New Hampshire Ave Ste 2

Portsmouth, NH 038012864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.