Wade Branson Bayless, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113907 Issued in FL

Practice address

1131 NW 64TH Ter Ste a
Gainesville, FL 32605-4261

Phone

(352) 363-2025

Fax

(352) 363-2026

NPI assigned

Dec 21, 2020

Sex

Male

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 FL

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

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

74.02

Promoting interoperability

100

Improvement activities

40

Cost

77.26

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73059
• Direct secure messaging: wade.bayless.1@13142.direct.athenahealth.com

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.

• Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757
  Medicare reassignment Care Compare group NPD (past)
• Meadowcrest Family Physicians, P.a.

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1396981528
  Medicare reassignment NPD
• Medication Assisted Recovery Institute, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Boca Raton, FL
  • NPI 1154967891
  Medicare reassignment
• Bonita Springs Retirement Village, Inc.

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD
• Lehigh Acres BG Opco LLC

  • Assisted Living Facility
  • Lehigh Acres, FL
  • NPI 1760939813
  NPD
• Meadowcrest Family Practice PA

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1831233816
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1932795259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025",
            "fax_number": "352-363-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025",
            "fax_number": "352-363-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "WADE",
        "middle_name": "BRANSON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix L Baxter, MD
• Jon Howard Baxter, D.M.D.
• Lewis R Baxter Jr., MD
• Shelby Elizabeth Baxter, C.N.A
• Virginia Rogers Baxter, DNS, RN,C
• Laurie Anne Baylis, RDH
• Betul Nurefsan Bayraktutar, M.D.
• Catalina Bazacliu, MD
• Christopher Tanner Bazemore, DO
• Yvette Bazikian, MD

• Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.