Active NPI
Denise Wade
- Primary Care Nurse Practitioner
- Waynesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN.CNP.026136
- Practice address
- 7149 Township Line Rd
Waynesville, OH 45068-8054 - Phone
- (419) 234-2260
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.026136 | OH | Primary |
| Physical Therapy Assistant | 225200000X | 6557 | OH |
Addresses
Primary practice location
7149 Township Line Rd
Waynesville, OH 45068-8054
Mailing address
571 Karns Dr
Vandalia, OH 45377-1430
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | iamdeniseg@gmail.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 Miami Valley Dr
Suite 550
Centerville, OH 45459-1298
Phone (937) 208-4200
Hospital & facility affiliations
- Fidelity Health Care
- Miami Valley Hospital
- Atrium Medical Center
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6557 | OH | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2300 Miami Valley Dr
Ste 550
Dayton, OH 45459
Phone (937) 438-7500
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
9000 N Main St
Ste 238
Englewood, OH 45415
Phone (937) 832-0006
200 Medical Center Dr
Ste 325
Middletown, OH 45005
Phone (513) 705-4762
3170 Kettering Blvd
Bldg B2
Moraine, OH 45439
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
3130 N County Road 25A
Ste 114
Troy, OH 45373
Phone (937) 440-7665
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1376871970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 KARNS DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7149 TOWNSHIP LINE RD",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450688054",
"telephone_number": "419-234-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.026136",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "6557",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "iamdeniseg@gmail.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "none",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7149 Township Line Rd",
"city": "Waynesville",
"state": "OH",
"country_code": "US",
"postal_code": "450688054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waynesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.