Wade Hollingshead, FNP
Individual provider Active NPI Family Nurse Practitioner · Beaver, UT
NPI 1962438895 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1962438895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4813074-4405 (UT)
- Practice address
- 1059 N 100 W
Beaver, UT 84713-1690 - Phone
- (435) 438-7280
- Fax
- (435) 438-7210
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaver Medical, LLC
Practice addresses (Care Compare)
850 N Main
Milford, UT 84751-0640
Phone (435) 387-2471
Hospital & facility affiliations
- Beaver Valley Hospital
- Intermountain Health Cedar City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060907000524 | UT | Practitioner - Nurse Practitioner | 4183628092 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4813074-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical, LLC | Current |
Accepting new patients | |
| Beaver Valley Hospital | Current | Accepting new patients | |
| Beaver Valley Hospital | Current |
Accepting new patients | |
| Beaver Valley Hospital | Current |
Accepting new patients |
Interoperability endpoints
- wade.hollingshead@bmc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4813074-4405 | UT | Yes |
Addresses
Primary practice location
1059 N 100 W
Beaver, UT 84713-1690
Mailing address
PO Box 1690
Beaver, UT 84713-1690
Phone (435) 438-7280
Other practice location 1
350 E 400 S Ste 220
Salt Lake City, UT 84111-2993
Phone (888) 803-3370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4813074-4408 | Other | UT | STATE LICENSE NUMBER |
Other providers in Beaver, UT
- Gary W. Clark a Professional Corporation
- Braxton Goff
- H2RX
- Lisa Dawn Hendrickson
- Travis Hicks
- David S Howard
- Kenneth Lynn Hussey
- Brennon K Hutchings
- Steven R Hutchings
- Scott Anthony Langford
All providers in Beaver, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.