Jennifer Edington Wade, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R862362 Issued in MS

Practice address

967 Regional Center Dr
Oxford, MS 38655-3551

Phone

(662) 513-8507

Fax

(662) 234-1699

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 MS

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• Centerwell Home Health Home health agency, Bruce, MS, CCN 257309
• BMH-Calhoun Hospital, Calhoun City, MS, CCN 251331
• Progressive Health Group of Houston Hospital, Houston, MS, CCN 250785

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wade Clinic LLC

  • Family Nurse Practitioner
  • Calhoun City, MS
  • NPI 1225580046
  Medicare reassignment NPD Authorized official

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

• Able Home Health, Inc.

  dba Mississippi HomeCare of Eupora

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Baptist Memorial Hospital-Calhoun Inc

  • Critical Access Hospital
  • Calhoun City, MS
  • NPI 1881142461
  Care Compare affiliation
• Home Health Care Affiliates of Mississippi, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Bruce, MS
  • NPI 1710983887
  Care Compare affiliation
• Progressive Health of Houston, LLC

  dba Progressive Health Group of Houston

  • Rural Acute Care Hospital
  • Houston, MS
  • NPI 1639936396
  Care Compare affiliation

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134349699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COUNTY ROAD 489",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169676",
            "telephone_number": "662-312-2905",
            "fax_number": "662-234-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 REGIONAL CENTER DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553551",
            "telephone_number": "662-513-8507",
            "fax_number": "662-234-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JENNIFER",
        "middle_name": "EDINGTON",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R862362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirpi Vivekanandam Sachithanandam, MBBS
• Amy Carole Vlach, PH.D
• Mary Lela Valentine Vonder Haar, PA
• Virginia Allyn Wachter, APRN
• Charles Robert Wade, D.C.
• Kimberly D Wadley, M.S.
• Staci Alys Waites, M.ED.
• Cynthia Ellen Waits, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0699)
• Wal-Mart Stores, Inc. (Vision Center 30-0699)

• Family Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.