Active NPI 1669777314 Individual Practitioner Female Practitioner

Nicole L Rawle , APRN

Nurse Practitioner • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Rawle, APRN is a certified Nurse Practitioner practicing in Provo, UT. With approximately 16 years of clinical experience since completing medical education in 2010, Nicole Rawle delivers high-quality medical care to the local community at 1055 N 500 W.

Nicole Rawle is affiliated with Sage Dermatology And Mohs Surgery 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

1055 N 500 W
Suite 111

Provo, UT 846043305

Telephone 8013748999

Fax 8014298063

Associated Practice Facility / Clinic

🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.8 yrs vs City Avg

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

58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rawle (16 Years) 16 Yrs

Provo Specialty Average (9.2 Years) 9.2 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	420	76	$19.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	145	122	$152.94	$73.45
17000 Destruction of skin growth	112	96	$126.00	$48.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	57	$215.45	$103.62
11102 Tangential biopsy of single skin lesion	24	24	$193.00	$76.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$188.00	$90.12
17004 Destruction of precancer skin growth, 15 or more growths	24	20	$365.00	$133.63
17110 Destruction of up to 14 skin growths	14	14	$216.00	$87.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	513	91	$19.00	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	173	146	$149.77	$73.09
17000 Destruction of skin growth	136	118	$126.00	$47.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	82	$211.87	$103.51
11102 Tangential biopsy of single skin lesion	35	34	$193.00	$75.78
17110 Destruction of up to 14 skin growths	28	27	$216.00	$89.48
17004 Destruction of precancer skin growth, 15 or more growths	16	16	$365.00	$135.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	439	87	$19.00	$5.45
99213 Established patient office or other outpatient visit, typically 15 minutes	229	175	$147.90	$73.77
17000 Destruction of skin growth	129	111	$126.65	$45.62
11102 Tangential biopsy of single skin lesion	57	53	$191.95	$75.22
17110 Destruction of up to 14 skin growths	29	29	$214.21	$88.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$208.93	$104.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$91.95	$45.92
17004 Destruction of precancer skin growth, 15 or more growths	14	12	$365.00	$135.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$187.00	$91.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	404	74	$19.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	188	156	$146.43	$74.23
17000 Destruction of skin growth	128	107	$132.05	$44.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	66	$207.54	$106.60
11102 Tangential biopsy of single skin lesion	64	63	$176.36	$82.56
17110 Destruction of up to 14 skin growths	35	34	$190.23	$92.23
11103 Biopsy of related skin growth, each additional growth	24	17	$94.71	$43.02
17004 Destruction of precancer skin growth, 15 or more growths	13	13	$365.00	$135.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$186.17	$92.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	348	60	$19.00	$4.88
99213 Established patient office or other outpatient visit, typically 15 minutes	195	144	$133.65	$61.96
17000 Destruction of skin growth	93	82	$132.91	$45.66
11102 Tangential biopsy of single skin lesion	44	43	$160.00	$80.86
17110 Destruction of up to 14 skin growths	24	20	$199.33	$91.16
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$136.71	$62.83
17004 Destruction of precancer skin growth, 15 or more growths	14	14	$367.00	$129.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$82.00	$37.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	456	70	$19.00	$4.70
99213 Established patient office or other outpatient visit, typically 15 minutes	214	158	$122.90	$61.72
17000 Destruction of skin growth	100	87	$132.00	$45.69
11102 Tangential biopsy of single skin lesion	37	36	$160.00	$78.19
17004 Destruction of precancer skin growth, 15 or more growths	31	25	$367.00	$126.63
17110 Destruction of up to 14 skin growths	27	21	$206.00	$89.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$73.89	$37.35
99202 New patient office or other outpatient visit, typically 20 minutes	18	17	$126.67	$63.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	370	50	$18.97	$4.36
99213 Established patient office or other outpatient visit, typically 15 minutes	141	105	$121.93	$60.28
17000 Destruction of skin growth	69	60	$131.32	$47.08
17004 Destruction of precancer skin growth, 15 or more growths	30	24	$367.00	$119.39
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$125.00	$61.94
17110 Destruction of up to 14 skin growths	24	20	$179.96	$83.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$72.00	$35.95
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	12	$196.92	$98.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	369	54	$9.00	$4.61
99213 Established patient office or other outpatient visit, typically 15 minutes	187	130	$116.00	$59.51
17000 Destruction of skin growth	69	58	$109.00	$43.89
17004 Destruction of precancer skin growth, 15 or more growths	44	32	$245.00	$119.14
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$118.00	$61.35
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	16	$158.00	$67.32
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	19	15	$185.00	$73.08
17110 Destruction of up to 14 skin growths	17	15	$179.00	$84.50

Medical Specialties & State Licenses

CMS Verified: 2020-03-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 294885-4408

(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.

Hospital & Practice Group Affiliations

Sage Dermatology And Mohs Surgery Llc

11760 S 700, Draper, UT 840206605

Phone: 8018829995

Secondary Practice Locations

220 N 1200 E Ste 203

Lehi, UT 840435864

Phone: 8014180920

Practice Associates & Co-Workers

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

7 Associated Practitioners

Jaddon Rogers , PA-C

Physician Assistant

NPI 1134638810

Physician Assistant (Certified)

Dr. Payam Tristani-Firouzi , MD

Dermatology

NPI 1407943921

Doctor of Medicine (M.D.)

Dr. Jake Fagan , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1548688989

Doctor of Medicine (M.D.)

Dr. Kevin Gardner , DO

Dermatology

NPI 1639490386

Doctor of Osteopathic Medicine (D.O.)

Dr. Reed Garza , MD

Dermatology

NPI 1669715819

Doctor of Medicine (M.D.)

Dr. Brian Bradshaw , MD

Dermatology

NPI 1811955800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 26, 2018

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

✅

NPI Profile Active January 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2011

Registered at 1055 N 500 W, SUITE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍

Updated Business Mailing Address January 11, 2011

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

👤

Provider Name / Credentials Updated January 11, 2011

Recorded as NICOLE RAWLE, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2011

Nurse Practitioner (License #294885-4408 in UT)

🟢

Initial NPI Registration & Enumeration January 11, 2011

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: 1669777314

Entity Type:

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

Enumeration Date: January 11, 2011

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

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.