Individual provider Active NPI

Natalie Christine Wade, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1245015213
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832
Phone
(520) 409-7397
NPI assigned
Aug 29, 2023
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832

Mailing address

6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832
Phone (520) 409-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240227000348 MO Practitioner - Physician Assistant 6305289638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleaver Dermatology PCGroup PAC ID 4587946298, 6 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Cleaver Dermatology
Macon, MO 63552-2095
Phone (660) 627-7546

1316 Country Club Dr
Kirksville, MO 63501-5362
Phone (660) 627-7546

3300 E 10TH St
Trenton, MO 64683-9579
Phone (660) 627-7546

861 Fairway Dr
Chillicothe, MO 64601-3673
Phone (660) 627-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd J. Cleaver, D.O., L.L.C. CurrentSince Sep 5, 2023 Accepting new patients

Locations

1316 Country Club Dr
Kirksville, MO 63501
Phone (660) 627-7546

Organizations & group practices 2

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1245015213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125832",
            "telephone_number": "520-409-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125832",
            "telephone_number": "520-409-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NATALIE",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.