Individual provider Active NPI

Wade Evans, CRNP

  • Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1881350601
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024837 Issued in PA
Practice address
850 Hospital Rd Ste 2200
Indiana, PA 15701-3663
Phone
(724) 464-0270
NPI assigned
Nov 16, 2021
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024837 PA Primary

Addresses

Primary practice location

850 Hospital Rd Ste 2200
Indiana, PA 15701-3663

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wade.evans@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220405002963 PA Practitioner - Nurse Practitioner 0840686523 Reassigns benefits to 2 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
Indiana Regional Medical CenterGroup PAC ID 6800791187, 11 clinicians

Practice addresses (Care Compare)

25 Colony Blvd
Blairsville, PA 15717-7971
Phone (724) 549-1700

850 Hospital Rd
Suite 2200
Indiana, PA 15701-3663
Phone (724) 464-0270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Regional Medical Center CurrentSince Jan 13, 2025 Accepting new patients
Indiana Regional Medical Center CurrentSince Jan 13, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

850 Hospital Rd
Ste 2200
Indiana, PA 15701
Phone (724) 464-0270

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

Interoperability endpoints

  • Direct secure messaging: wade.evans@irmc.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1881350601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD STE 2200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013663",
            "telephone_number": "724-464-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wade.evans@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "850 Hospital Rd Ste 2200",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.