Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KREYMOHNEY DESIREE WADE SPECIALIST
NPI 1659065019
Prosthetic/Orthotic Supplier in Ann Arbor, MI

Q: What is Kreymohney Wade's NPI number?

The NPI number for Kreymohney Wade is 1659065019. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Q: What is Kreymohney Wade's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Kreymohney Wade was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 June 07, 2023PECOS Enrolled

122 S MAIN ST STE 110, ANN ARBOR, MI 48104(734) 598-1564(734) 407-8783 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 12, 2026, Oct 8, 2025, Aug 13, 2025 and 2 more (5 updates tracked since 2023).

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About Kreymohney Desiree Wade Specialist NPPES

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

KREYMOHNEY DESIREE WADE SPECIALIST (NPI 1659065019) is an individual prosthetic/orthotic supplier provider in Ann Arbor, Michigan and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659065019

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameKREYMOHNEY DESIREE WADECredential: SPECIALIST

Location Address122 S MAIN ST STE 110Ann Arbor, MI 48104-1925

Mailing Address122 S Main St Ste 110Ann Arbor, MI 48104-1925 · (734) 598-1564 · Fax (734) 407-8783

Phone(734) 598-1564

Fax(734) 407-8783

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 7, 2023

Last NPPES UpdateSeptember 12, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2026

✔ NPI 1659065019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

122 S MAIN ST STE 110, Ann Arbor, MI 48104

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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)

Kreymohney Desiree Wade Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244705424

PECOS Enrollment IDI20260406001384

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.

Other Providers at the Same Location NPPES

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

ELABORATE YOU HAIR LASH AESTHETICS LLC

Prosthetic/Orthotic Supplier

122 S MAIN ST STE 110
ANN ARBOR, MI 48104

Washtenaw County (734) 598-1564

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 Kreymohney Wade's NPI number?

The NPI number for Kreymohney Wade is 1659065019. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Kreymohney Wade located?

Kreymohney Wade practices at 122 S Main St Ste 110, Ann Arbor, MI 48104. The listed phone number is (734) 598-1564.

What is Kreymohney Wade's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is Kreymohney Wade enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kreymohney Wade was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.