Individual provider Active NPI

Cynthia Anne Wade, APRN FNP-BC

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1205356045
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134166 Issued in TX
Practice address
1350 S Main St Ste 3200
Fort Worth, TX 76104-7669
Phone
(817) 702-9355
Fax
(817) 579-3977
NPI assigned
Jun 22, 2017
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 AP134166 TX Primary

Addresses

Primary practice location

1350 S Main St Ste 3200
Fort Worth, TX 76104-7669

Mailing address

200 W Magnolia Ave
Fort Worth, TX 76104-7644
Phone (469) 583-0807

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.wade.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170926000194 TX Practitioner - Nurse Practitioner 2062786320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1350 S Main St
Suite 3200
Fort Worth, TX 76104-7669
Phone (817) 702-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Hood Medical Group Nurse Practitioner CurrentSince Jun 28, 2021 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Feb 1, 2018 Accepting new patients
Hood Medical Group CurrentSince Jun 28, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Feb 1, 2018 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 23, 2023 Accepting new patients
Alice L. Ramsey M.D. PastSince Aug 21, 2017 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1350 S Main St
Ste 3200
Fort Worth, TX 76104
Phone (817) 338-4550

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

1308 Paluxy Rd
Ste 300
Granbury, TX 76048
Phone (817) 579-3922

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525

750 Eureka St
Ste B
Weatherford, TX 76086
Phone (817) 599-6222

Interoperability endpoints

  • Direct secure messaging: cynthia.wade.1@1293.direct.athenahealth.com

Organizations & group practices 7

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1205356045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047644",
            "telephone_number": "469-583-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S MAIN ST STE 3200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047669",
            "telephone_number": "817-702-9355",
            "fax_number": "817-579-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.wade.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1308 Paluxy Rd Ste 300",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.