Individual provider Active NPI

Kasey L Wade

  • Nurse Practitioner
  • Munster, IN
National Provider Identifier
1841902509
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.026891 Issued in IL
Practice address
8135 Calumet Ave
Munster, IN 46321-1701
Phone
(219) 513-2000
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041438110 IL
Nurse Practitioner 363L00000X 209.026891 IL Primary

Addresses

Primary practice location

8135 Calumet Ave
Munster, IN 46321-1701

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Other practice location 1

40 75th St
Willowbrook, IL 60527-2325
Phone (512) 734-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230227002861 IL Practitioner - Nurse Practitioner 3678946332 Reassigns benefits to 1 organization
I20240621003161 IN Practitioner - Nurse Practitioner 3678946332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care, IncGroup PAC ID 5193957595, 31 clinicians
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

1500 Indianapolis Blvd
Schererville, IN 46375-1316
Phone (219) 440-7373

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041438110ILMDRegistered Nurse
209.026891ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Mar 10, 2023 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Apr 25, 2024 Accepting new patients
Midwest Express Care, Inc CurrentSince Apr 25, 2024 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Apr 25, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 10, 2023 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Apr 25, 2024 Accepting new patients
The Methodist Hospitals, Inc PastSince Apr 25, 2024 Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

1500 US Highway 41
Schererville, IN 46375
Phone (219) 440-7373

Organizations & group practices 7

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1841902509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211701",
            "telephone_number": "219-513-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 75th St",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272325",
            "country_code": "US",
            "telephone_number": "512-734-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "KASEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041438110",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.026891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.