Individual provider Active NPI

Jonathan Wade, APRN-CRNA

  • Certified Registered Nurse Anesthetist
  • North Platte, NE
National Provider Identifier
1689146128
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101511 Issued in NE
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 568-8470
NPI assigned
Dec 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101511 NE Primary

Addresses

Primary practice location

601 W Leota St
North Platte, NE 69101-6525

Mailing address

9005 Lakeview Dr
North Platte, NE 69101-9489
Phone (208) 351-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, ID, TX, WA, IA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210414002219 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608114053 Reassigns benefits to 1 organization
I20210702001431 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608114053 Reassigns benefits to 1 organization
I20230123002468 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608114053 Reassigns benefits to 1 organization
I20231110002420 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608114053 Reassigns benefits to 5 organizations
I20251106000786 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608114053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians
Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians
Public Hospital District No 1 of Mason CountyGroup PAC ID 0345139275, 60 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

901 Mountain View Dr
Suite 1
Shelton, WA 98584-4401
Phone (360) 427-3625

Hospital & facility affiliations

  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
  • Jennie M Melham Memorial Medical Center Hospital, Broken Bow, NE, CCN 281365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Public Hospital District 1 Current Accepting new patients
River City Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Nov 1, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
North Iowa Mercy Clinics CurrentSince Oct 6, 2025 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Nov 1, 2023 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Feb 1, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2022 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2021 Accepting new patients
Pend Oreille County Public Hospital District No 1 Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Oct 6, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Feb 1, 2025 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Jan 20, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients

Locations

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

400 10th St E
Waconia, MN 55387

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

403 Treeline Park
San Antonio, TX 78209
Phone (210) 294-8000

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1689146128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 LAKEVIEW DR",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691019489",
            "telephone_number": "208-351-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-568-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JONATHAN",
        "credential": "APRN-CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.