Individual provider Active NPI

Wendy Wade, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1871950493
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-140811 Issued in AL
Practice address
1304 Chinook LN
Pueblo, CO 81001-1851
Phone
(719) 545-2746
NPI assigned
Jan 27, 2016
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-140811 AL Primary

Addresses

Primary practice location

1304 Chinook LN
Pueblo, CO 81001-1851

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379
Phone (719) 545-2746

Other names 1

  • Wendy Robertson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200805001645 CO Practitioner - Nurse Practitioner 5698073781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

1304 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-140811ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions CurrentSince Aug 1, 2020 Accepting new patients
Health Solutions CurrentSince Aug 1, 2020 Accepting new patients

Locations

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

1302 Chinook Ln
Pueblo, CO 81001

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

1310 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 100
Pueblo, CO 81001

41 Montebello Rd
Ste 104
Pueblo, CO 81001

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1871950493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 204",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011851",
            "telephone_number": "719-545-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "WENDY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-140811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "ROBERTSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.