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WADE SUTTER
NPI 1063103869
Counselor - Professional in Hannibal, MO

Active since May 15, 2023PECOS Enrolled
1221 BROADWAY, HANNIBAL, MO 63401(573) 221-2111 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wade Sutter NPPES

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

WADE SUTTER (NPI 1063103869) is an individual professional provider in Hannibal, Missouri, licensed in Missouri (2023015724) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063103869
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWADE SUTTER
Location Address1221 BROADWAYHannibal, MO 63401-4005
Mailing Address115 W Lafayette StPalmyra, MO 63461-1525 · (573) 629-8983
Phone(573) 221-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 15, 2023
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1063103869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2023015724
1221 BROADWAY, Hannibal, MO 63401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wade Sutter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981175676
PECOS Enrollment IDI20260603002673
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.

Other Providers at the Same Location NPPES 7

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

MRS. CARRIE EIZENGA DANNER MSW, LCSW
Social Worker (Clinical)
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 221-2111
JESSICA ERICKSON
Counselor (Mental Health)
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 211-2111
WENDY GAIL BRYANT PLPC
Counselor (Professional)
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 221-2111
WHITE OAK COUNSELING, LLC
Social Worker (Clinical)
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 221-2111
DESTINEE CHRISTINE LEAR MSW, LMSW
Social Worker
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 221-2111
BOBBI JO TUCKER LCSW
Social Worker (Clinical)
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (576) 221-2111
KATHY LYNN PFAFFE LPSW, LPC, LMSW
Social Worker
1221 BROADWAY
HANNIBAL, MO 63401
Marion County (573) 221-2111

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 Wade Sutter's NPI number?

The NPI number for Wade Sutter is 1063103869. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Wade Sutter located?

Wade Sutter practices at 1221 Broadway, Hannibal, MO 63401. The listed phone number is (573) 221-2111.

What is Wade Sutter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wade Sutter enrolled in Medicare?

Yes. Wade Sutter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wade Sutter was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.