RAEVIN ASHLEY WADE
NPI 1053249763
Social Worker - Clinical in Hattiesburg, MS
About Raevin Ashley Wade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAEVIN ASHLEY WADE (NPI 1053249763) is an individual clinical provider in Hattiesburg, Mississippi, licensed in Mississippi (C12013) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hattiesburg, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raevin Ashley Wade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raevin Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New London, NH 03257
- Reassigned Medicare billing, Mississippi enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raevin Wade's NPI number?
The NPI number for Raevin Wade is 1053249763. It was assigned to this individual provider in the NPPES registry on May 12, 2026.
Where is Raevin Wade located?
Raevin Wade practices at 525 N Main St Fl 3, Hattiesburg, MS 39401. The listed phone number is (601) 699-4080.
What is Raevin Wade's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Raevin Wade enrolled in Medicare?
Yes. Raevin Wade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raevin Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raevin Wade reassigns Medicare benefits to Counseling Associates Of New London PLLC (New London, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raevin Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raevin Wade accept?
Health plans from Ambetter from NH Healthy Families, Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Raevin Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Raevin Wade was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Raevin Ashley Wade · NPI 1053249763
Clinical provider in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since May 12, 2026.
## Identity
- **NPI:** 1053249763 (Entity type: Individual)
- **Enumerated:** May 12, 2026
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C12013 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 N MAIN ST FL 3, Hattiesburg, MS 39401-3582
- **Phone:** (601) 699-4080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Counseling Associates Of New London PLLC (NPI 1205055365, New London, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053249763) · Data from the CMS NPPES public registry.