Daniel Nolte, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01370 Issued in RI

Practice address

65 Village Square Dr Ste 201
South Kingstown, RI 02879-2569

Phone

(401) 444-7959

Fax

(401) 515-7910

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brown Dermatology IncGroup PAC ID 3870872773, 28 clinicians

Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brown Dermatology, Inc.

  • Dermatology Physician
  • Providence, RI
  • NPI 1730538026
  Medicare reassignment Care Compare group
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment Care Compare group
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678

  Physician Assistant

  NPD
• Lifespan Physician Group, Inc.

  • Neurology Physician
  • Providence, RI
  • NPI 1689536229
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1124798855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 VILLAGE SQUARE DR STE 201",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028792569",
            "telephone_number": "401-444-7959",
            "fax_number": "401-515-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Bald Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124798855",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Glasheen Murray, MD
• Joey Napolitano
• Narragansett Pulmonary Medicine LLC
• New England Sound LLC
• Duyanh Nguyen, PT
• Cynthia Lynne Notarianni, APRN
• Teryn Jean O'Brien, LMHC-A
• Ophthalmology Inc
• Abigail Owen, POST DOCTORATE
• Joshua Anthony Pangborn, OD

• Physician Assistant in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.