Mason Alexander Wade, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-151000 Issued in AL

Practice address

251 N Bayou St
Mobile, AL 36603-5827

Phone

(251) 690-8158

NPI assigned

Feb 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mason.wade.1@15479.direct.athenahealth.com

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.

• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1063439065

  AL

  Medicare reassignment Care Compare group NPD
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Citronelle, AL
  • NPI 1053406280
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Semmes, AL
  • NPI 1083629661
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1083709521
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1164846283
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, AL
  • NPI 1639474778
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1649523432
  Care Compare group
• Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
  • NPI 1780864462
  Care Compare group
• Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
  • NPI 1720257199
  NPD
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1124042718
  NPD (past)

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile County Board of Health 26 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1629534656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Saint Stephens Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366121231",
            "country_code": "US",
            "telephone_number": "251-456-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Dauphin Island Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366053472",
            "country_code": "US",
            "telephone_number": "251-455-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 East Coy Smith Hwy",
            "address_purpose": "LOCATION",
            "city": "Mt Vernon",
            "state": "AL",
            "postal_code": "36560",
            "country_code": "US",
            "telephone_number": "251-829-9884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Cox St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043303",
            "country_code": "US",
            "telephone_number": "251-690-8930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Wulff Rd E",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365755256",
            "country_code": "US",
            "telephone_number": "251-445-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19250 N Mobile St",
            "address_purpose": "LOCATION",
            "city": "Citronelle",
            "state": "AL",
            "postal_code": "365222122",
            "country_code": "US",
            "telephone_number": "251-866-9126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5580 Inn Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366191904",
            "country_code": "US",
            "telephone_number": "251-666-7413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Cox St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043303",
            "country_code": "US",
            "telephone_number": "251-405-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Courthouse Sq",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365074809",
            "country_code": "US",
            "telephone_number": "251-690-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "MASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-151000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen Vu, PHARMD
• Tung Van Vu, M.D.
• Cynthia Humble Vuyovich, CRNP
• Wade Faulkner, MD, PC
• Benjamin Wade
• Philip M. Wade, MD
• Tiffany Harris Wade, FNP-C
• Deena Wafadari R, M.D.
• Anna Waggener, LPC
• Daniel Jay Wagner, MD

• All providers in Mobile, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.

Verify at the official NPI Registry.