Jennifer Katherine Wade, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R194448 Issued in MD

Practice address

28105 Three Notch Rd # 1C
Mechanicsville, MD 20659-3235

Phone

(301) 290-1510

Fax

(301) 290-1574

NPI assigned

Feb 25, 2014

Sex

Female

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 MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Chesapeake Neurology and Spine

  • Specialist
  • Mechanicsville, MD
  • NPI 1194974360
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1053736231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 ABBEY LN",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206392310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28105 THREE NOTCH RD # 1C",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593235",
            "telephone_number": "301-290-1510",
            "fax_number": "301-290-1574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11340 Pembrooke Sq Ste 211",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034808",
            "country_code": "US",
            "telephone_number": "301-290-1510",
            "fax_number": "301-290-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "JENNIFER",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenthouse Health, LLC
• Bryant Pinklon Thomas, PT
• Elizabeth Dickens Turner, MPT
• Vault Research Inc
• Village Family Healthcare, LLC
• Waldorf Integrated Healthcare, LLC
• Jessica Dean Williams
• Tara Wood, CRNP
• Word Work Therapy LLC

• Family Nurse Practitioner in Mechanicsville, MD
• Providers in Mechanicsville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.