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Deactivated NPI 1669439840 Deactivated / Inactive NPI Female Practitioner

Nancy J Radle , NP

Nurse Practitioner • Provo, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nancy Radle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 29, 2006
NPI Deactivation Date December 17, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Nancy Radle, NP was a registered Nurse Practitioner practicing in Provo, UT. Throughout an active medical career spanning 12 years, Nancy Radle provided care at the practice location at 1055 N 500 W until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 101

Provo, UT 846043305

Telephone 8013734366
Fax 8014298191
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 2097264405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Michael Anderson , PA

Physician Assistant

NPI 1023569241

Physician Assistant

Jared Madeo , NP

Nurse Practitioner - Family

NPI 1053789917

Nurse Practitioner

Michael Cole , PA

Physician Assistant

NPI 1114060142

Physician Assistant

Dr. Douglas Smith , MD

Internal Medicine - Cardiovascular Disease

NPI 1144288580

Doctor of Medicine (M.D.)

Dr. John Frischknecht , MD

Internal Medicine - Cardiovascular Disease

NPI 1235197674

Doctor of Medicine (M.D.)

Dr. David Perry , DO

Internal Medicine - Cardiovascular Disease

NPI 1295029528

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 17, 2018

Record deactivated on December 17, 2018

NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 16, 2007

Registered at 1055 N 500 W, SUITE 101, PROVO, UT 846043305 (Tel: 8013734366)

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Updated Business Mailing Address October 16, 2007

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013548225)

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Provider Name / Credentials Updated October 16, 2007

Recorded as NANCY RADLE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Nurse Practitioner (License #2097264405 in UT)

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Initial NPI Registration & Enumeration April 29, 2006

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: 1669439840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2006
Last Update: October 16, 2007
Deactivation Date: December 17, 2018

Mailing Address

1055 N 500 W

Provo, UT 846043305

Phone: 8013548225

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.