LISA MARIE WADE
NPI 1710379201
Nurse Practitioner - Family in West Plains, MO
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Marie Wade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Plains, MO 65775
- Reassigned Medicare billing, Missouri enrollment
- 338 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Lisa Wade located?
Lisa Wade practices at 1307 Porter Wagoner Blvd, West Plains, MO 65775. The listed phone number is (417) 255-8645.
What is Lisa Wade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Wade enrolled in Medicare?
Yes. Lisa Wade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wade reassigns Medicare benefits to Ozarks Medical Center (West Plains, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Lisa Marie Wade · NPI 1710379201
Family physician in West Plains, Missouri. Individual provider, active in the CMS NPPES registry since February 20, 2015.
## Identity
- **NPI:** 1710379201 (Entity type: Individual)
- **Enumerated:** February 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2015005062 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1307 PORTER WAGONER BLVD, West Plains, MO 65775-1828
- **Phone:** (417) 255-8645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ozarks Medical Center (NPI 1649712712, West Plains, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2021
- **Other identifiers:** Other F0215049 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1710379201) · Data from the CMS NPPES public registry.