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DAVID WADE JR.
NPI 1780552505
Nurse Practitioner - Family in Pensacola, FL

Active since October 24, 2025PECOS Enrolled
4201 OBREGON DR, PENSACOLA, FL 32504(850) 417-6758 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Wade Jr. NPPES

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

DAVID WADE JR. (NPI 1780552505) is an individual family provider in Pensacola, Florida, licensed in Florida (11043059) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780552505
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID WADE JR.
Location Address4201 OBREGON DRPensacola, FL 32504-7755
Mailing Address4201 Obregon DrPensacola, FL 32504-7755
Phone(850) 417-6758
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1780552505 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 FL · 11043059
4201 OBREGON DR, Pensacola, FL 32504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Wade Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719444173
PECOS Enrollment IDI20260806001188
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.

Medicare Billing Reassignment

Medicare enrollment records show David Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infectious Disease Group, PA
2.7 mi
Infectious Disease
5120 BAYOU BLVD STE 11
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1235218405 (850) 432-3692

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 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 David Wade's NPI number?

The NPI number for David Wade is 1780552505. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is David Wade located?

David Wade practices at 4201 Obregon Dr, Pensacola, FL 32504. The listed phone number is (850) 417-6758.

What is David Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Wade enrolled in Medicare?

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

Which organization bills Medicare for David Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wade reassigns Medicare benefits to Infectious Disease Group, PA (Pensacola, FL). 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 David 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 David Wade was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.