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WADE HILLAM
NPI 1558717421
Student in an Organized Health Care Education/Training Program in Omaha, NE

Active since May 10, 2016PECOS Enrolled
2618 S 3RD STREET PLZ, OMAHA, NE 68108(208) 201-1805 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wade Hillam NPPES

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

WADE HILLAM (NPI 1558717421) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558717421
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWADE HILLAM
Location Address2618 S 3RD STREET PLZOmaha, NE 68108-1712
Mailing Address2618 S 3rd Street PlzOmaha, NE 68108-1712
Phone(208) 201-1805
Sole ProprietorNo
Enumeration DateMay 10, 2016
✔ NPI 1558717421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2618 S 3RD STREET PLZ, Omaha, NE 68108
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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)

Wade Hillam 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.

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 Wade Hillam's NPI number?

The NPI number for Wade Hillam is 1558717421. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Wade Hillam located?

Wade Hillam practices at 2618 S 3rd Street Plz, Omaha, NE 68108. The listed phone number is (208) 201-1805.

What is Wade Hillam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wade Hillam enrolled in Medicare?

Yes. Wade Hillam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wade Hillam was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.