Active NPI
Charles E. Wade, NP
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1598253577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71007932A
- Practice address
- 7287 Jessman Road West Dr Apt C
Indianapolis, IN 46256-4170 - Phone
- (219) 670-6083
- NPI assigned
- Apr 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 71007932A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71007932A | IN | |
| Nurse Practitioner | 363L00000X | 71007932A | IN | Primary |
Addresses
Primary practice location
7287 Jessman Road West Dr Apt C
Indianapolis, IN 46256-4170
Mailing address
7287 Jessman Road West Dr Apt C
Indianapolis, IN 46256-4170
Phone (219) 670-6083
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001344950 | Other | IN | ANTHEM |
| 3000013406 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7287 Jessman Rd W Dr
Apt C
Indianapolis, IN 46256-4170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007932A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wade'S Care First Nurse Practitioner Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
6102 N Keystone Ave Ste 100 PMB 1084
Indianapolis, IN 46220
6101 N Keystone Ave
Ste 100
Indianapolis, IN 46220
Phone (219) 315-6581
Interoperability endpoints
- charles.wade.1@32804.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1679383947
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- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1598253577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7287 JESSMAN ROAD WEST DR APT C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564170",
"telephone_number": "219-670-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7287 JESSMAN ROAD WEST DR APT C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564170",
"telephone_number": "219-670-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "CHARLES",
"middle_name": "E.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "71007932A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007932A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71007932A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00001344950",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000013406",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.