Individual provider Active NPI

Melissa Denise Wade, DNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629365036
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120465 Issued in TX
Practice address
650 N Sam Houston Pkwy E Ste 105B
Houston, TX 77060
Phone
(281) 272-1743
Fax
(281) 272-1758
NPI assigned
Jul 6, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP120465 TX Primary

Addresses

Primary practice location

650 N Sam Houston Pkwy E Ste 105B
Houston, TX 77060

Mailing address

650 N Sam Houston Pkwy E Ste 105B
Houston, TX 77060-5918
Phone (281) 272-1743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140317001540 TX Practitioner - Nurse Practitioner 0143467134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorge a. Zuniga MD PAGroup PAC ID 9234377037, 2 clinicians
Remix Medical, PLLCGroup PAC ID 9638437338, 9 clinicians

Practice addresses (Care Compare)

1724 Richmond Ave
Houston, TX 77098-3604
Phone (832) 632-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120465TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Royalty Hospice, LLC Current Accepting new patients
5 Star Hospice, LLC CurrentSince Mar 17, 2020 Accepting new patients
Jorge a Zuniga MD PA CurrentSince Oct 1, 2019 Accepting new patients
Remix Medical, PLLC Family CurrentSince Jun 2, 2020 Accepting new patients
Patient Management Associates, LLC Past Accepting new patients
At Home Health Care Hospice, Inc PastSince Mar 15, 2019 Accepting new patients
Wesley Healthcare, LLC PastSince Aug 3, 2018 Accepting new patients

Locations

9450 SW Gemini Dr
Beaverton, OR 97008
Phone (310) 974-8767

1724 Richmond Ave
Houston, TX 77098
Phone (713) 597-5131

650 N Sam Houston Pkwy E
Ste 210
Houston, TX 77060
Phone (832) 288-3135

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDCCD
  • Direct secure messaging: melissa.wade.1@13131.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
5 Star HospiceMissouri City, TX, CCN 971713 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Mar 17, 2020
Mar 17, 2020
Mar 17, 2020
Mar 17, 2020
Mar 17, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 2

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629365036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N SAM HOUSTON PKWY E STE 105B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770605918",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N SAM HOUSTON PKWY E STE 105B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77060",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MELISSA",
        "middle_name": "DENISE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.