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MRS. ALEXANDRA TAYLOR WADE FNP
NPI 1902648207
Nurse Practitioner - Acute Care in Manteca, CA

Active since June 10, 2024PECOS Enrolled
250 NORTHGATE DR STE 102, MANTECA, CA 95336(209) 239-5299 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Alexandra Taylor Wade Fnp NPPES

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

MRS. ALEXANDRA TAYLOR WADE FNP (NPI 1902648207) is an individual acute care provider in Manteca, California, licensed in California (95026359) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902648207
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. ALEXANDRA TAYLOR WADECredential: FNP
Location Address250 NORTHGATE DR STE 102Manteca, CA 95336-3161
Mailing Address2399 58th StSacramento, CA 95817-1724 · (209) 201-1883
Phone(209) 239-5299
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 9, 2024
✔ NPI 1902648207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95026359
250 NORTHGATE DR STE 102, Manteca, CA 95336
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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)

Mrs. Alexandra Taylor Wade Fnp 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 95336 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 3

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

INYOUNG STELLA YEO PA
Physician Assistant
250 NORTHGATE DR STE 102
MANTECA, CA 95336
San Joaquin County (209) 722-4842
ADAM DAVID HUBERT PA
Physician Assistant
250 NORTHGATE DR STE 102
MANTECA, CA 95336
San Joaquin County (209) 239-5299
DERIELLE K COLEMAN ASW
Social Worker (Clinical)
250 NORTHGATE DR STE 102
MANTECA, CA 95336
San Joaquin County (209) 722-4842

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 Alexandra Wade's NPI number?

The NPI number for Alexandra Wade is 1902648207. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Alexandra Wade located?

Alexandra Wade practices at 250 Northgate Dr Ste 102, Manteca, CA 95336. The listed phone number is (209) 239-5299.

What is Alexandra Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alexandra Wade enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexandra Wade was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.