Individual provider Active NPI

Ryan Wade, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1114529088
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1018441 Issued in TX
Practice address
7777 Forest LN
Dallas, TX 75230-2571
Phone
(972) 566-7000
NPI assigned
Nov 14, 2020
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1018441 TX Primary

Addresses

Primary practice location

7777 Forest LN
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
Dallas, TX 75230-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, PA, AZ, NH, WV6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20230317000238 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 1 organization
I20240611003235 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 1 organization
I20240711002712 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 2 organizations
I20241018003577 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 1 organization
I20250605000457 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 1 organization
I20250825002661 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476927245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uniontown Anesthesia LLCGroup PAC ID 1052641859, 26 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7000

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018441TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia - South Charleston Nurse Anesthetist, Certified Registered CurrentSince May 25, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Feb 1, 2023 Accepting new patients
Uniontown Anesthesia LLC CurrentSince Jun 21, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC CurrentSince Mar 30, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Nov 10, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 8, 2024 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 8, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince Nov 10, 2025 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

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 5

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": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1114529088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-14",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1018441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.