Active NPI
Kristell Marie Wade, CRNA
- Certified Registered Nurse Anesthetist
- Enterprise, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 604 Medical Parkway
Enterprise, OR 97828 - Phone
- (541) 426-5306
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | OR | ||
| Certified Registered Nurse Anesthetist | 367500000X | OR | Primary |
Addresses
Primary practice location
604 Medical Parkway
Enterprise, OR 97828
Mailing address
79360 Wade Gulch Lane
Lostine, OR 97857
Phone (541) 263-1465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200260022CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Wallowa County Health Care District | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
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.
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Critical Access Hospital
- Enterprise, OR
- NPI 1558366229
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1184607020
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1871503748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79360 WADE GULCH LANE",
"city": "LOSTINE",
"state": "OR",
"postal_code": "97857",
"telephone_number": "541-263-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MEDICAL PARKWAY",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "97828",
"telephone_number": "541-426-5306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "KRISTELL",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.