NPIMap

Individual provider Active NPI

Michelle D Wade, AGACNP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1336794049
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1048132 Issued in DC
Practice address
102 Irving St NW
Washington, DC 20010-2921
Phone
(202) 877-7445
NPI assigned
Aug 8, 2019
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 RN1048132 DC Primary

Addresses

Primary practice location

102 Irving St NW
Washington, DC 20010-2921

Mailing address

4681 Desert Rd
Suffolk, VA 23434-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240131000549 MD Practitioner - Nurse Practitioner 3577970490 Reassigns benefits to 2 organizations
I20251230002240 VA Practitioner - Nurse Practitioner 3577970490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

6701 N Charles St
Baltamore, MD 21204-6808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1048132DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Oct 2, 2025 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Oct 2, 2025 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Luminis Health Gilchrist Lifecare Institute, LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

2000 Medical Pkwy
Ste 607
Annapolis, MD 21401
Phone (410) 266-1644

11311 McCormick Rd
Ste 100
Hunt Valley, MD 21031

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: mwade164587@direct.aahs.org

Organizations & group practices 6

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 4

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1336794049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 DESERT RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "202-877-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1048132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.