Individual provider Active NPI

Charles E. Wade, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1598253577
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007932A Issued in IN
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

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00001344950OtherINANTHEM
3000013406MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000310 IN Practitioner - Nurse Practitioner 4688938822 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
71007932AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wade'S Care First Nurse Practitioner Services LLC Nurse Practitioner CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.