LISA MARIE WADE
NPI 1710379201
Nurse Practitioner - Family in West Plains, MO

Q: What is Lisa Wade's NPI number?

The NPI number for Lisa Wade is 1710379201. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Q: What is Lisa 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 Lisa Wade was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 20, 2015PECOS Enrolled

100/100

CMS Quality Rating

1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775(417) 255-8645 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lisa Marie Wade NPPES

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

LISA MARIE WADE (NPI 1710379201) is an individual family provider in West Plains, Missouri, licensed in Missouri (2015005062) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Plains.

NPPES Registry Identity

NPI1710379201

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE WADE

Location Address1307 PORTER WAGONER BLVDWest Plains, MO 65775-1828

Mailing Address2811 Ginger DrWest Plains, MO 65775-1571 · (417) 293-2210

Phone(417) 255-8645

Sole ProprietorNo

Enumeration DateFebruary 20, 2015

Last NPPES UpdateJuly 1, 2021

NPPES CertifiedJuly 1, 2021

✔ NPI 1710379201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2015005062

1307 PORTER WAGONER BLVD, West Plains, MO 65775

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Secondary Practice Location 1

Location 1805 N Kentucky AveWest Plains, MO 65775-2022 · Phone (417) 256-2111

Other Identifiers 1

OtherF0215049MO · Aanp Certification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Wade 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers23 claims31 services$114.63 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 8

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

THROUGH HIM MEDICAL, LLC

Family Medicine