BRANDY WADE FNP-BC
NPI 1962279489
Nurse Practitioner in Chicago, IL

Q: What is Brandy Wade's NPI number?

The NPI number for Brandy Wade is 1962279489. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Q: What is Brandy Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Wade was last updated on December 5, 2023. 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.

Active since December 05, 2023PECOS Enrolled

2535 S KING DR, CHICAGO, IL 60616(312) 674-5972 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Brandy Wade Fnp-bc NPPES

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

BRANDY WADE FNP-BC (NPI 1962279489) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.028623) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962279489

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBRANDY WADECredential: FNP-BC

Location Address2535 S KING DRChicago, IL 60616-4746

Mailing Address2535 S King DrChicago, IL 60616-4746

Phone(312) 674-5972

Sole ProprietorNo

Enumeration DateDecember 5, 2023

NPPES CertifiedDecember 5, 2023

✔ NPI 1962279489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.028623

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.028623 (IL)

2535 S KING DR, Chicago, IL 60616

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy Wade Fnp-bc 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.

Medicare Billing Reassignments

Medicare enrollment records show Brandy Wade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Familydoc Urgent Care LLC

5.9 mi

Urgent Care

7201 S STONY ISLAND AVE
Chicago, IL 60649

Reassigned Medicare billing, Illinois enrollment
7 clinicians in this Medicare group

NPI 1245880715 (773) 940-1612

Family Doc, Inc.

6.0 mi

Family Medicine

7207 S STONY ISLAND AVE
Chicago, IL 60649

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1700117942 (773) 940-1612

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 60616 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 14

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

NANZEEN SAYEF M.D.

Internal Medicine

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

SHEHLA LASI-SIDDIQI M.D.

Internal Medicine

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

DR. BENJAMIN GRUBER MD, PHD, FACS

Otolaryngology

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

HEIDI SHARON BROOKENTHAL D.O.

Family Medicine

2535 S KING DR
CHICAGO, IL 60616

Cook County (708) 747-7960

MRS. MANYI JOELLE NFUNDOAK

Physician Assistant

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

SARAH AUDREY COOK PA-C

Physician Assistant (Surgical)

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

DR. LAURA NICOLE DEJULIA AUD

Audiologist

2535 S KING DR, MOD B
CHICAGO, IL 60616

Cook County (312) 606-0672

SHARI PALMER M.D.

Pediatrics

2535 S KING DR
CHICAGO, IL 60616

Cook County (312) 842-7117

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 Brandy Wade's NPI number?

The NPI number for Brandy Wade is 1962279489. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Brandy Wade located?

Brandy Wade practices at 2535 S King Dr, Chicago, IL 60616. The listed phone number is (312) 674-5972.

What is Brandy Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brandy Wade enrolled in Medicare?

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

Which organizations bill Medicare for Brandy Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Wade reassigns Medicare benefits to 2 organizations: Familydoc Urgent Care LLC (Chicago, IL) and Family Doc, Inc. (Chicago, IL). Each 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 Brandy Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandy Wade accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Brandy Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandy Wade was last updated on December 5, 2023. 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.