Modeanna Leigh Wade, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000016204 Issued in TN

Practice address

899 Highway 51 S
Covington, TN 38019-2568

Phone

(901) 244-4646

Fax

(901) 244-4647

NPI assigned

Oct 19, 2011

Sex

Female

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 TN

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Office of Internal Medicine, PCGroup PAC ID 5193860385, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Office of Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1679776678
  Medicare reassignment Care Compare group NPD
• Wade Family Medicine, LLC.

  dba Wade Family Medicine

  • Clinic/Center
  • Covington, TN
  • NPI 1629586375
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital - Germantown

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1760767016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 UNION AVENUE EXT STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124403",
            "telephone_number": "901-726-0843",
            "fax_number": "901-708-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192568",
            "telephone_number": "901-244-4646",
            "fax_number": "901-244-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2693 Union Avenue Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381124403",
            "country_code": "US",
            "telephone_number": "901-726-0843 x44646",
            "fax_number": "901-708-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 S Munford St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "38019",
            "country_code": "US",
            "telephone_number": "901-244-4646",
            "fax_number": "901-244-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "MODEANNA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huy VI
• Carroll Logan Vincent, APN ,PMHNP- BC
• Dejo Viprakasit, MD
• Suttiwara Viprakasit, MD
• Wade Family Medicine, LLC. (Wade Family Medicine)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0093)
• Wal-Mart Stores East, LP (Vision Center 30-0093)
• Walgreen Co (Walgreens #07911)
• Walgreen Co (Rite Aid #7410)
• Kathleen Peterson Wallace, MA, CCC-SLP

• Family Nurse Practitioner in Covington, TN
• Providers in Covington, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.