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JACOB DANIEL WADE
NPI 1609559244
Nurse Practitioner - Acute Care in Shreveport, LA

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
2600 GREENWOOD RD, SHREVEPORT, LA 71103(318) 212-4000 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Daniel Wade NPPES

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

JACOB DANIEL WADE (NPI 1609559244) is an individual acute care provider in Shreveport, Louisiana, licensed in Louisiana (231241) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609559244
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJACOB DANIEL WADE
Location Address2600 GREENWOOD RDShreveport, LA 71103-3908
Mailing Address550 DaleyPrinceton, LA 71067-9111 · (318) 268-5341
Phone(318) 212-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1609559244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in LA · 231241
2600 GREENWOOD RD, Shreveport, LA 71103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Jacob Daniel Wade 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 ID648628826
PECOS Enrollment IDI20231128003774
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

CROSS LAKE EMERGENCY GROUP, LLC
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
MAURICE HAWLEY M.D.
Anesthesiology
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (972) 664-6963
SANDRA JEANNINE WARD
Registered Nurse (Critical Care Medicine)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
EDGAR DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DAVID PAUL BAKER CRNA
Nurse Anesthetist, Certified Registered
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DR. CRAIG FLOREA MD
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4500
JOSE ALBA MD
Radiology (Diagnostic Radiology)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4550
JADE MORGAN ARRANT
Physician Assistant
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000

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 Jacob Wade's NPI number?

The NPI number for Jacob Wade is 1609559244. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Jacob Wade located?

Jacob Wade practices at 2600 Greenwood Rd, Shreveport, LA 71103. The listed phone number is (318) 212-4000.

What is Jacob Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacob Wade enrolled in Medicare?

Yes. Jacob Wade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Wade accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Jacob Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Wade affiliated with any hospitals?

According to CMS data, Jacob Wade is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Wade was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.