Andrea Wade, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002331 Issued in CA

Practice address

351 N Mountain View Ave Fas
San Bernardino, CA 92415-3115

Phone

(760) 326-9230

Fax

(760) 326-9355

NPI assigned

Apr 14, 2015

Last updated

Jan 21, 2020By the provider in NPPES

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 CA

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of San BernardinoGroup PAC ID 3870499130, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• River Valley Home Health Home health agency, Big River, CA, CCN 059373
• Colorado River Medical Center Hospital, Needles, CA, CCN 051323
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of San Bernardino

  dba Department of Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Bernardino, CA
  • NPI 1164467023
  Medicare reassignment Care Compare group NPD
• County of San Bernardino

  dba Apple Valley Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD
• County of San Bernardino

  • Public Health or Welfare Agency
  • Needles, CA
  • NPI 1558531707
  NPD
• County of San Bernardino

  • Public Health or Welfare Agency
  • Barstow, CA
  • NPI 1073783239
  NPD (past)

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

• Community Healthcare Partner, Inc

  dba Colorado River Medical Center

  • Critical Access Hospital
  • Needles, CA
  • NPI 1457520942
  Care Compare affiliation
• Mohave Healthcare, Inc.

  dba River Valley Home Health

  • Home Health Agency
  • Big River, CA
  • NPI 1457735748
  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1801282074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BAILEY AVE",
            "address_2": "SUITE D",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633115",
            "telephone_number": "760-326-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N MOUNTAIN VIEW AVE FAS",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924153115",
            "telephone_number": "760-326-9230",
            "fax_number": "760-326-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ANDREA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Vosika
• Jimmy Quoc Vu, O.D
• Sarah Thao Phuong Vu
• Michelle Vuong
• W&W Community Development Inc. (Children's Plus)
• Adriana Wagner, RD
• Robert Jacob Wagner III, DDS
• Jacy Wahba
• Julie Emma Swerdlow Wailes
• Wal-Mart Stores, Inc. (Vision Center 30-3276)

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.