Active NPI
Wade'S Care First Nurse Practitioner Services LLC
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1679383947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WADE'S CARE FIRST NURSE PRACTITIONER SERVICES LLC
- Practice address
- 7287 Jessman Road West Dr Apt C
Indianapolis, IN 46256-4170 - Phone
- (219) 670-6083
- NPI assigned
- Jan 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Edward Wade
- Title
- Nurse Practitioner
- Phone
- (219) 670-6083
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6102 N Keystone Ave Ste 100 PMB 1084
Indianapolis, IN 46220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1598253577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1679383947",
"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"
},
{
"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": {
"organization_name": "WADE'S CARE FIRST NURSE PRACTITIONER SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "219-670-6083"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.