MS. KENYA MICHELLE WADE CPNP
NPI 1265707160
Nurse Practitioner - Pediatrics in Dumfries, VA

Q: What is Kenya Wade's NPI number?

The NPI number for Kenya Wade is 1265707160. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Q: What is Kenya Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kenya Wade was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 12, 2012PECOS Enrolled

3700 FETTLER PARK DR, DUMFRIES, VA 22025(703) 441-7655 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 17, 2017, Oct 3, 2015 (3 updates tracked since 2015).

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About Ms. Kenya Michelle Wade Cpnp NPPES

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

MS. KENYA MICHELLE WADE CPNP (NPI 1265707160) is an individual pediatrics provider in Dumfries, Virginia, licensed in Virginia (0024174942) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265707160

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. KENYA MICHELLE WADECredential: CPNP

Location Address3700 FETTLER PARK DRDumfries, VA 22025-2050

Mailing Address28 Christopher WayStafford, VA 22554-7811 · (540) 658-9127 · Fax (540) 658-9127

Phone(703) 441-7655

Sole ProprietorNo

Enumeration DateMarch 12, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1265707160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in VA · 0024174942✔ Licensed in NC · 5005514

3700 FETTLER PARK DR, Dumfries, VA 22025

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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)

Ms. Kenya Michelle Wade Cpnp 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 22025 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.