DUSTIN WADE
NPI 1013323336
Nurse Practitioner - Family in Shawnee, OK

Q: What is Dustin Wade's NPI number?

The NPI number for Dustin Wade is 1013323336. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Dustin Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Wade was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2014PECOS EnrolledAccepts Medicare Assignment

2508 N HARRISON ST, SHAWNEE, OK 74804(405) 585-2030 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dustin Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN WADE (NPI 1013323336) is an individual family provider in Shawnee, Oklahoma, licensed in Oklahoma (91102) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013323336

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDUSTIN WADE

Location Address2508 N HARRISON STShawnee, OK 74804-3131

Mailing Address821 E Veterans Memorial HwyBlanchard, OK 73010-9215

Phone(405) 585-2030

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 8, 2014

Last NPPES UpdateJune 13, 2023

NPPES CertifiedJune 13, 2023

✔ NPI 1013323336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 91102

2508 N HARRISON ST, Shawnee, OK 74804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin Wade is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668718891

PECOS Enrollment IDI20190109002012

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

249 services61 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

133 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services40 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

Prague Regional Memorial Hospital

Critical Access Hospitals · Prague, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number371301

Location1322 Klabzuba AvenuePrague, OK 74864 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA L. WELCH APRN-CNP PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)