MRS. CRYSTAL ANN WADE MSN, AG-ACNP-BC
NPI 1073173142
Nurse Practitioner - Adult Health in Jacksonville, FL

Q: What is Crystal Wade's NPI number?

The NPI number for Crystal Wade is 1073173142. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Crystal Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Wade was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 19, 2019PECOS Enrolled

81.9/100

CMS Quality Rating

655 W. EIGHTH ST, ACC BUILDING 2ND FLOOR, JACKSONVILLE, FL 32209(904) 244-1010 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Feb 8, 2022, Jun 8, 2020 and 4 more (7 updates tracked since 2019).

On this page

About Mrs. Crystal Ann Wade Msn, Ag-acnp-bc NPPES

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

MRS. CRYSTAL ANN WADE MSN, AG-ACNP-BC (NPI 1073173142) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (11002837) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073173142

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. CRYSTAL ANN WADECredential: MSN, AG-ACNP-BC

Location Address655 W. EIGHTH ST, ACC BUILDING 2ND FLOORJacksonville, FL 32209-3220

Mailing Address2285 Marsh Hawk Ln Apt 13102Fleming Island, FL 32003-3309 · (757) 291-3876

Phone(904) 244-1010

Sole ProprietorNo

Enumeration DateJune 19, 2019

Last NPPES UpdateAugust 2, 20227 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1073173142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 11002837

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11002837 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11002837 (FL)

655 W. EIGHTH ST, Jacksonville, FL 32209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Crystal Ann Wade Msn, Ag-acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

33 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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 Crystal Wade's NPI number?

The NPI number for Crystal Wade is 1073173142. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Crystal Wade located?

Crystal Wade practices at 655 W. Eighth St Acc Building 2nd Floor, Jacksonville, FL 32209. The listed phone number is (904) 244-1010.

What is Crystal Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Crystal Wade enrolled in Medicare?

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

What insurance does Crystal Wade accept?

Health plans from AvMed list Crystal 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 Crystal Wade was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.