Individual provider Active NPI

Ronda Ann Brown Wade, MSN, FNP-BC

  • Nurse Practitioner
  • Everett, WA
National Provider Identifier
1609081249
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60699324 Issued in WA
Practice address
4027 Hoyt Ave
Everett, WA 98201-4920
Phone
(425) 304-8476
NPI assigned
May 14, 2007
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5046 AZ
Nurse Practitioner 363L00000X AP60699324 WA Primary

Addresses

Primary practice location

4027 Hoyt Ave
Everett, WA 98201-4920

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8476

Other identifiers 1

IdentifierTypeStateIssuer
2072443MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170119002878 WA Practitioner - Nurse Practitioner 1557504883 Reassigns benefits to 1 organization
I20250626000006 OK Practitioner - Nurse Practitioner 1557504883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

604 S Walnut St
Stillwater, OK 74074-4222
Phone (405) 372-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5046AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wade Wellness, PLLC Family Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 23, 2017 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 23, 2017 Accepting new patients

Locations

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

604 S Walnut St
Stillwater, OK 74074
Phone (405) 338-7072

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

4027 Hoyt Ave
Everett, WA 98201
Phone (425) 304-8476

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609081249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-304-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014920",
            "telephone_number": "425-304-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "RONDA",
        "middle_name": "ANN BROWN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5046",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60699324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.