AMY WADA CRNA
NPI 1538244454
Nurse Anesthetist, Certified Registered in Salisbury, NC

Active since October 26, 2006
612 MOCKSVILLE AVE, SALISBURY, NC 28144(704) 210-5661(704) 210-5660 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amy Wada Crna NPPES

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

AMY WADA CRNA (NPI 1538244454) is an individual nurse anesthetist, certified registered in Salisbury, North Carolina, licensed in North Carolina (076165) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1538244454
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMY WADACredential: CRNA
Location Address612 MOCKSVILLE AVESalisbury, NC 28144-2732
Mailing Address9614 Tramacera Ct NwConcord, NC 28027
Fax(704) 210-5660
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1538244454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 076165
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
612 MOCKSVILLE AVE, Salisbury, NC 28144

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Wada Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Wada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
1025 NE GATEWAY CT
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
31 services30 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
15 services15 patients

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.

Pathology (Anatomic Pathology & Clinical Pathology)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Nurse Practitioner
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Student in an Organized Health Care Education/Training Program
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Nurse Anesthetist, Certified Registered
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Counselor (Mental Health)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144

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 Amy Wada's NPI number?

The NPI number for Amy Wada is 1538244454. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Amy Wada located?

Amy Wada practices at 612 Mocksville Ave, Salisbury, NC 28144. The listed phone number is (704) 210-5661.

What is Amy Wada's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amy Wada enrolled in Medicare?

Yes. Amy Wada is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Wada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wada reassigns Medicare benefits to Gateway Anesthesia LLC (Concord, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Wada was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.