Individual provider Active NPI

Debra Wade, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1073846457
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A006144 Issued in AR
Practice address
2223 Grant St
Malvern, AR 72104-4700
Phone
(501) 337-9031
NPI assigned
Sep 16, 2009
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A006144 AR Primary

Addresses

Primary practice location

2223 Grant St
Malvern, AR 72104-4700

Mailing address

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190325001048 AR Practitioner - Nurse Practitioner 5698015907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians
Reding and Leach MD PLLCGroup PAC ID 7012258627, 62 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

2566 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-3923
Phone (479) 935-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006144ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appello Health and Wellness Clinic, LLC CurrentSince Dec 29, 2025 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

2223 Grant St
Malvern, AR 72104
Phone (501) 337-9031

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Interoperability endpoints

  • Direct secure messaging: debra.wade@aphw.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECIFDD/Endpoint/ECIFDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1073846457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 GRANT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044700",
            "telephone_number": "501-337-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 GRANT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044700",
            "telephone_number": "501-337-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.