COTY DARNELL WADE (CRNP) – Family Nurse Practitioner, NPI 1144305053

COTY DARNELL WADE (CRNP) is a healthcare provider. based in Mc calla, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-097913 (AL). The NPI Number for COTY DARNELL WADE (CRNP) is 1144305053

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
COTY DARNELL WADE (CRNP)
NPI
1144305053
Phone
(205) 938-3437
Address
11954 FOUNDRY CIR
Enumeration Date
26 October 2006
Last Update Date
1 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053390171
Graduation Year
2011 (15 years ago)
PAC ID
5890950885
Group Practice PAC ID
1254236755
Professional Enrollment ID
I20120625000379
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COTY DARNELL WADE (CRNP)

  • 11954 FOUNDRY CIR

    MC CALLA, AL 351112590

    Phone: (205) 938-3437

    Type: Mailing

  • Hospital Drive, West Centreville, Centreville, Bibb County, Alabama, 35042, United States

    CENTREVILLE, AL 350422935

    Phone: (205) 926-2993

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $2,619.

Total Amount is formed as General ($2,619) + Research ($0) + Ownership ($0) = $2,619.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Novo Nordisk Inc ($338).

Total Amount

$2,619

General + Research + Ownership

Payments

164

Total payment records

General Amount

$2,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120625000379INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254236755View full group profile
NameSpecialtyState
Family Practice, Sports MedicineAL
Family PracticeAL
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify COTY DARNELL WADE (CRNP) for billing?
Administrative and clinical systems typically use NPI 1144305053 for COTY DARNELL WADE (CRNP).
Is COTY DARNELL WADE (CRNP)'s NPI status active today?
Active status means COTY DARNELL WADE (CRNP)'s NPI record is not deactivated in the public file.
Which specialty label fits COTY DARNELL WADE (CRNP)?
NPPES ties COTY DARNELL WADE (CRNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to COTY DARNELL WADE (CRNP)?
COTY DARNELL WADE (CRNP) shows a connection to Mc Calla, Alabama in registry-derived data.
Can I export COTY DARNELL WADE (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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