ERIN OLIVIA WADE (PA-C) – Physician Assistant, NPI 1811769029

ERIN OLIVIA WADE (PA-C) is a healthcare provider. based in Jacksonville beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9117608 (FL). The NPI Number for ERIN OLIVIA WADE (PA-C) is 1811769029

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ERIN OLIVIA WADE (PA-C)
NPI
1811769029
Phone
(904) 512-1899
Address
1807 3rd St N
Enumeration Date
23 October 2023
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9048800622
Graduation Year
2023 (3 years ago)
PAC ID
4688020381
Group Practice PAC ID
6305063884
Professional Enrollment ID
I20231101002563
Address ID
FL322576188JA4727XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ERIN OLIVIA WADE (PA-C)

  • 1807 3rd St N

    Jacksonville Beach, FL 322507491

    Phone: (904) 512-1899

    Fax: (904) 770-7592

    Type: Location

  • PO BOX 13834

    TALLAHASSEE, FL 323173834

    Phone: (850) 205-0615

    Fax: (855) 975-0615

    Type: Mailing

  • 4727 SUNBEAM RD STE 101

    JACKSONVILLE, FL 322576188

    Phone: (904) 512-1899

    Fax: (904) 770-7592

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $2,725.

Total Amount is formed as General ($2,725) + Research ($0) + Ownership ($0) = $2,725.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($524).

Total Amount

$2,725

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2023-11-01

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
I20231101002563IPhysician AssistantFLTBD

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 32250)

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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: 6305063884View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find ERIN OLIVIA WADE (PA-C)'s NPI?
You can confirm ERIN OLIVIA WADE (PA-C) with NPI 1811769029; it appears in the national provider directory.
Is ERIN OLIVIA WADE (PA-C) currently active in the NPI registry?
CMS-published data lists ERIN OLIVIA WADE (PA-C) as an active registrant.
Does ERIN OLIVIA WADE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ERIN OLIVIA WADE (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ERIN OLIVIA WADE (PA-C)?
The page summarizes Jacksonville Beach, Florida for ERIN OLIVIA WADE (PA-C); expand the address list for detail.
Is ERIN OLIVIA WADE (PA-C) a real provider?
This page reflects official NPPES data for NPI 1811769029. Always confirm identity and privileges with the practice and licensing boards.

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