MS. THERESA BERGEN WADE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063497758

MS. THERESA BERGEN WADE (APRN) is a healthcare provider. based in Kealakekua, Hawaii. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 7512 (CA). The NPI Number for MS. THERESA BERGEN WADE (APRN) is 1063497758

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MS. THERESA BERGEN WADE (APRN)
NPI
1063497758
Phone
(808) 393-0677
Address
79-7446 Mamalahoa Hwy
Enumeration Date
14 December 2005
Last Update Date
23 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
5303874975
Graduation Year
1987 (39 years ago)
PAC ID
7012215643
Group Practice PAC ID
6002863271
Professional Enrollment ID
I20200623002064
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for MS. THERESA BERGEN WADE (APRN)

  • 79-7446 Mamalahoa Hwy

    Kealakekua, HI 967507913

    Phone: (808) 393-0677

    Type: Location

  • 83-5737 KANELE ST

    CAPTAIN COOK, HI 967048329

    Phone: (808) 333-5977

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 96750)

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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: 6002863271View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
Clinical Social WorkerCA
-CA
Family PracticeCA
-CA
Marriage And Family TherapistHI
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for MS. THERESA BERGEN WADE (APRN) in the U.S.?
In the U.S., MS. THERESA BERGEN WADE (APRN) is identified by NPI 1063497758.
Is MS. THERESA BERGEN WADE (APRN)'s NPI status active today?
Active status means MS. THERESA BERGEN WADE (APRN)'s NPI record is not deactivated in the public file.
What type of care does MS. THERESA BERGEN WADE (APRN) provide?
MS. THERESA BERGEN WADE (APRN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MS. THERESA BERGEN WADE (APRN) in Kealakekua, Hawaii?
For routing, start with Kealakekua, Hawaii for MS. THERESA BERGEN WADE (APRN), then verify phone and hours locally.
Why is information missing for MS. THERESA BERGEN WADE (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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