Individual provider Active NPI

Janette Lyn Wade, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1760241517
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015218A Issued in IN
Practice address
155 E Burks Dr
Bloomington, IN 47401-8459
Phone
(812) 545-9863
Fax
(844) 909-4679
NPI assigned
Mar 14, 2024
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015218A IN Primary

Addresses

Primary practice location

155 E Burks Dr
Bloomington, IN 47401-8459

Mailing address

3954 US Highway 50 W
Mitchell, IN 47446-5417
Phone (812) 545-9863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240627001657 IN Practitioner - Nurse Practitioner 4284178575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015218AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Providence Medical Group LLC CurrentSince Jun 3, 2024 Accepting new patients
HPW Center for Diabetes, LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

445 S County Road 525 E
Avon, IN 46123
Phone (317) 745-1390

701 Henry St
North Vernon, IN 47265
Phone (812) 346-0651

2224 Lafayette Ave
Terre Haute, IN 47805
Phone (812) 235-8496

3560 S 4th St
Terre Haute, IN 47802
Phone (812) 235-8496

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1760241517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 US HIGHWAY 50 W",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474465417",
            "telephone_number": "812-545-9863",
            "fax_number": "844-909-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BURKS DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018459",
            "telephone_number": "812-545-9863",
            "fax_number": "844-909-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JANETTE",
        "middle_name": "LYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015218A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.