Tim Nowatzke, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

364827-1206 Issued in UT

Practice address

383 S 300 E
St George, UT 84770-3620

Phone

(435) 628-2826

Fax

(435) 628-2839

NPI assigned

May 16, 2006

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

Medicare fee-for-service enrollment

Enrolled in UT

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Skin and Cancer LLCGroup PAC ID 4587675004, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score

69.3 of 100Reported as group

Quality

36.72

Improvement activities

40

Cost

82.02

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Southwest Skin and Cancer LLC

  • Specialist
  • St George, UT
  • NPI 1619929783
  Medicare reassignment Care Compare group
• The Foot & Ankle Institute LLC

  • Podiatrist
  • St George, UT
  • NPI 1134158397
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1215989645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 S 300 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703620",
            "telephone_number": "435-628-2826",
            "fax_number": "435-628-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S 300 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703620",
            "telephone_number": "435-628-2826",
            "fax_number": "435-628-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWATZKE",
        "first_name": "TIM",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "364827-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Northrop
• Nikkola Northrup
• Northstar Adventures
• Shaun Michael Norton, MS, ATC, LAT
• Novatio, PLLC (Novatio)
• Laisha Lee Noyes
• Nshimba Nshimba
• Nu-Ears House of Hearing, Inc.
• Yenifer Nunez Leon
• Jessica Nunnelly

• Physician Assistant in St George, UT
• Providers in St George, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.