Individual provider Active NPI

Tracy C Wade, ARNP

  • Nurse Practitioner
  • Heflin, AL
National Provider Identifier
1063458586
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-074382NP Issued in AL
Practice address
242 Brockford Rd
Heflin, AL 36264-1608
Phone
(256) 463-2021
Fax
(256) 463-2024
NPI assigned
Jun 22, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-074382NP AL Primary

Addresses

Primary practice location

242 Brockford Rd
Heflin, AL 36264-1608

Mailing address

1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20050823000233 AL Practitioner - Nurse Practitioner 8820029523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheaha Area Regional Emergency SpecialistsGroup PAC ID 6103843354, 7 clinicians

Practice addresses (Care Compare)

256 Oxford Exchange Blvd
Oxford, AL 36203-3453
Phone (256) 835-0076

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-074382NPALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Mar 1, 2009 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Mar 1, 2009 Accepting new patients
Cheaha Area Regional Emergency Specialists CurrentSince Mar 14, 2023 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner Past Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner Past Accepting new patients
Quality of Life Health Services, Inc Past Accepting new patients
Cheaha Area Regional Emergency Services of Oxford PastSince Mar 14, 2023 Accepting new patients

Locations

1325 Quintard Ave
Anniston, AL 36201
Phone (256) 741-1339

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

242 Brockford Rd
Heflin, AL 36264
Phone (256) 463-2021

256 Oxford Exchange Blvd
Oxford, AL 36203
Phone (256) 835-0076

Interoperability endpoints

  • Direct secure messaging: twade333089@direct.ochin.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1063458586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 PIEDMONT CUTOFF",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032708",
            "telephone_number": "256-492-0131",
            "fax_number": "256-494-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BROCKFORD RD",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641608",
            "telephone_number": "256-463-2021",
            "fax_number": "256-463-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TRACY",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-074382NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heflin, AL

Sources for this page

Verify at the official NPI Registry.