Nancy Jane Wade, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

NW076446 Issued in MI

Practice address

6190 Hospital Dr
Cass City, MI 48726-1072

Phone

(989) 872-8503

Fax

(989) 872-1546

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nancy J. Bertelsmeyer Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hills & Dales General Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Cass City, MI
  • NPI 1881147700

  Corporate Director

  CMS ownership
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001

  Corporate Director

  CMS ownership
• Hills & Dales General Hospital, Inc.

  dba Cass City Medical Practice

  • Rural Health Clinic/Center
  • Cass City, MI
  • NPI 1487924221

  Corporate Director

  CMS ownership

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.

• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment NPD
• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  Medicare reassignment
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Medicare reassignment
• Deckerville Community Hospital, Inc

  dba Port Sanilac Healthcare

  • Clinic/Center
  • Port Sanilac, MI
  • NPI 1013799469
  NPD
• Deckerville Community Hospital, Inc.

  • Family Medicine Physician
  • Deckerville, MI
  • NPI 1164818977
  NPD
• Hills & Dales General Hospital, Inc.

  dba Sandusky Rapid Care

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Hills & Dales General Hospital, Inc.

  dba Aspire Hill Street Clinic

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859
  NPD
• Marlette Regional Hospital

  dba Aspire Angle Street Clinic

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999
  NPD
• Hills & Dales General Hospital Inc

  dba Thumb Pediatrics

  • Rural Health Clinic/Center
  • Cass City, MI
  • NPI 1487873501
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1114925864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8503",
            "fax_number": "989-872-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8503",
            "fax_number": "989-872-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "NW076446",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301076446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4548322",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwade36453@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "6190 Hospital Dr",
            "city": "Cass City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BERTELSMEYER",
            "middle_name": "J.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandi M Vanbrande, BT
• Jason Viele
• Visiting Nurse Association of Saginaw (Covenant Visiting Nurse Association)
• Sarahlynn Volk
• Vollmar-Yeager Chiropractic Back 2 Back, PLLC (Back 2 Back Chiropractic)
• Jamie Lyn Wallace
• Nichole Walters, BT
• Sophia Waltz
• Julia Warneck, BT
• Maryellen Wasserman

• Pediatrics Physician in Cass City, MI
• Providers in Cass City, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.