MR. JEREMY PAUL WADE FNP, ENP, PMHNP
NPI 1538494489
Nurse Practitioner - Family in Meridian, ID

Q: What is Jeremy Wade's NPI number?

The NPI number for Jeremy Wade is 1538494489. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Q: What is Jeremy Wade's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Wade was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 09, 2009PECOS EnrolledAccepts Medicare Assignment

1047 S WELLS ST, MERIDIAN, ID 83642(601) 451-4333(888) 317-1077 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 18, 2024, Dec 4, 2023, Nov 8, 2023 and 3 more (6 updates tracked since 2020).

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About Mr. Jeremy Paul Wade Fnp, Enp, Pmhnp NPPES

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

MR. JEREMY PAUL WADE FNP, ENP, PMHNP (NPI 1538494489) is an individual family provider in Meridian, Idaho, licensed in Mississippi (862789) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1538494489

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JEREMY PAUL WADECredential: FNP, ENP, PMHNP

Location Address1047 S WELLS STMeridian, ID 83642-7997

Mailing Address4780 I 55 N, Suite 116, Pmb 989333Jackson, MS 39211-6067 · (601) 451-4333 · Fax (888) 317-1077

Phone(601) 451-4333

Fax(888) 317-1077

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 9, 2009

Last NPPES UpdateJune 18, 20246 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1538494489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in MS · 862789✔ Licensed in ID · CS72647✔ Licensed in OR · 10017010✔ Licensed in ID · 77657

Also ListedRegistered NurseTaxonomy 163W00000X · License 10017010 (OR), 862789 (MS)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 77657 (ID), CS72647 (ID), 862789 (MS), 10017010 (OR)

1047 S WELLS ST, Meridian, ID 83642

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Other Identifiers 2

Medicaid00534527MS

Medicaid500830485OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and more.Insurance ›

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

Mr. Jeremy Paul Wade Fnp, Enp, Pmhnp 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 ID6406029487

PECOS Enrollment IDI20231206003974, I20240109004622

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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

839 services136 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

585 services114 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

101 services26 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 14

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

COURTNEY S. JOHNSON LPC

Counselor (Professional)