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Active NPI 1124798855 Individual Practitioner Male Practitioner

Daniel Nolte , PA

Physician Assistant • South Kingstown, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Nolte, PA is a certified Physician Assistant practicing in South Kingstown, RI. With approximately 6 years of clinical experience since completing medical education in 2020, Daniel Nolte delivers high-quality medical care to the local community at 65 VILLAGE SQUARE DR STE 201.

Daniel Nolte maintains professional affiliations with Brown Dermatology Inc, Lifespan Physician Group Inc 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

65 Village Square Dr Ste 201

South Kingstown, RI 028792569

Telephone 4014447959
Fax 4015157910
Associated Practice Facility / Clinic
🏢 University Dermatology, Inc. Facility NPI 1316996101

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 South Kingstown, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs Matches City Avg
City Avg: 6.0 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in South Kingstown, RI (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nolte (6 Years) 6 Yrs
South Kingstown Specialty Average (6.0 Years) 6.0 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
594 129 $14.07 $5.62
99213 Established patient office or other outpatient visit, typically 15 minutes
335 248 $210.00 $77.96
17000 Destruction of skin growth
218 156 $157.71 $52.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
94 80 $296.68 $106.52
11102 Tangential biopsy of single skin lesion
84 75 $238.71 $86.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
54 54 $259.89 $94.16
17110 Destruction of up to 14 skin growths
40 30 $267.50 $98.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $386.50 $142.97

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01370

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1124798855 (RI)

Hospital & Practice Group Affiliations

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Brown Dermatology Inc

65 Village Square Dr, South Kingstown, RI 028792292

Phone: 4015157979

Lifespan Physician Group Inc

65 Village Square Dr, South Kingstown, RI 028792569

Phone: 4014447959

Secondary Practice Locations

400 Bald Hill Rd

Warwick, RI 028861617

Phone: 4014447959

Practice Associates & Co-Workers

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

31 Associated Practitioners
Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Sean Na

Student in an Organized Health Care Education/Training Program

NPI 1083474696
Dr. Isaac Sluder , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1114716206

Doctor of Medicine (M.D.), Master of Public Health

NPI 1154368454

Doctor of Medicine (M.D.)

NPI 1154701019

Doctor of Medicine (M.D.)

NPI 1184061947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 17, 2025

Registered at 65 VILLAGE SQUARE DR STE 201, SOUTH KINGSTOWN, RI 028792569 (Tel: 4014447959)

📍
Updated Business Mailing Address December 17, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

NPI Profile Active September 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2021

Registered at 400 BALD HILL RD FL 2, WARWICK, RI 028861617 (Tel: 4017384323)

📍
Updated Business Mailing Address September 28, 2021

Registered at 110 ELM ST FL 3, PROVIDENCE, RI 029034626 (Tel: 4014434992)

👤
Provider Name / Credentials Updated September 28, 2021

Recorded as DANIEL NOLTE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2021

Physician Assistant (License #PA01370 in RI)

🟢
Initial NPI Registration & Enumeration September 14, 2021

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: 1124798855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2021
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.