DR. WADE JASON BRANDT CNP
NPI 1629070297
Nurse Practitioner - Family in Newark, NY

Q: What is Wade Brandt's NPI number?

The NPI number for Wade Brandt is 1629070297. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Wade Brandt'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 Wade Brandt was last updated on October 24, 2019. 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.

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment

71.93/100

CMS Quality Rating

1200 DRIVING PARK AVE, NEWARK, NY 14513(315) 359-2123(315) 359-2167 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2019, Apr 2, 2019, Jun 13, 2018 (3 updates tracked since 2018).

On this page

About Dr. Wade Jason Brandt Cnp NPPES

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

DR. WADE JASON BRANDT CNP (NPI 1629070297) is an individual family provider in Newark, New York, licensed in New York (344384) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Black Hills Surgical Hospital Llp, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629070297

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. WADE JASON BRANDTCredential: CNP

Location Address1200 DRIVING PARK AVENewark, NY 14513

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (315) 359-2123 · Fax (315) 359-2167

Phone(315) 359-2123

Fax(315) 359-2167

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 12, 2005

Last NPPES UpdateOctober 24, 20193 updates tracked since enumeration

✔ NPI 1629070297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · 344384✔ Licensed in OR · 201802902NP-PP

Also ListedNurse PractitionerTaxonomy 363L00000X · License R038406ANDCP000642 (SD)

1200 DRIVING PARK AVE, Newark, NY 14513

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Secondary Practice Locations 3

Location 11050 W Elm Ave Ste 110Hermiston, OR 97838-2713 · Phone (541) 567-2995

Location 2353 Fairmont Blvd.Rapid City, SD 57701 · Phone (605) 719-1000

Location 32 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 359-2123

Other Identifiers 1

Medicaid500704675OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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

Dr. Wade Jason Brandt Cnp 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 ID3375642648

PECOS Enrollment IDI20110804000752

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 2

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

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430091

Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.53

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$19.46 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$7.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers30 claims30 services$106.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. BRANDON PATRICK NUGENT NP

Nurse Practitioner (Acute Care)