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ELIZABETH WADE NP
NPI 1164814711
Nurse Practitioner - Family in Jacksonville, IL

Active since February 19, 2015PECOS EnrolledAccepts Medicare Assignment
1600 W MORTON AVE, JACKSONVILLE, IL 62650(217) 528-7541 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Sep 8, 2020 (2 updates tracked since 2020).

About Elizabeth Wade Np NPPES

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

ELIZABETH WADE NP (NPI 1164814711) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209012500) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1164814711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH WADECredential: NP
Location Address1600 W MORTON AVEJacksonville, IL 62650-2718
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (175) 287-5412
Phone(217) 528-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 19, 2015
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1164814711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209012500
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.012500 (IL)
1600 W MORTON AVE, Jacksonville, IL 62650
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Secondary Practice Location 1

Location 114 Gettysburg DrJacksonville, IL 62650-1057 · Phone (217) 883-0081

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

Elizabeth Wade Np 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 ID6709106743
PECOS Enrollment IDI20150514002713
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 6

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
267 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
205 services66 patients
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.
132 services61 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
91 services11 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.
45 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
4 suppliers31 claims2,940 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims173 services$20.09 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers24 claims5,400 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
3 suppliers14 claims283 services$2.30 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
4 suppliers17 claims440 services$3.06 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
4 suppliers11 claims1,074 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Elizabeth Wade's NPI number?

The NPI number for Elizabeth Wade is 1164814711. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Elizabeth Wade located?

Elizabeth Wade practices at 1600 W Morton Ave, Jacksonville, IL 62650. The listed phone number is (217) 528-7541.

What is Elizabeth Wade's specialty?

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

Is Elizabeth Wade enrolled in Medicare?

Yes. Elizabeth Wade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elizabeth Wade affiliated with any hospitals?

According to CMS data, Elizabeth Wade is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Wade was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.