DR. TINA M HALLER-WADE D.O.
NPI 1235175498
Family Medicine in Rockford, IL

Q: What is Tina Haller-wade's NPI number?

The NPI number for Tina Haller-wade is 1235175498. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Tina Haller-wade's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Haller-wade was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 22, 2006PECOS Enrolled

1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Tina M Haller-wade D.o. NPPES

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

DR. TINA M HALLER-WADE D.O. (NPI 1235175498) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036121323) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235175498

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TINA M HALLER-WADECredential: D.O.

Location Address1200 W STATE STRockford, IL 61102-2112

Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600

Phone(815) 490-1600

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateNovember 30, 2016

✔ NPI 1235175498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036121323✔ Licensed in MI · 5101016834

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1200 W STATE ST, Rockford, IL 61102

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF38454

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tina M Haller-wade D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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.

Other Providers at the Same Location NPPES 20

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

CARYN ANN RUZIC APRN

Nurse Practitioner (Family)