DR. NICOLE L WADE (DO) – Family Medicine Physician, NPI 1497714406
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
514 FAMILY PRACTICE in HI
Provider Addresses for DR. NICOLE L WADE (DO)
100 Keokea Pl
Kula, HI 967907450
Phone: (808) 876-4331
Fax: (808) 876-4332
Type: Location
944 CHERRY ST E
CANAL FULTON, OH 446148669
Phone: (330) 854-4574
Fax: (330) 854-0829
Type: Mailing
Kula Hospital, 100, Keokea Place, Keokea, Kula, Maui County, Hawaii, 96790, United States
KULA, HI 967907450
Phone: (808) 876-4331
Fax: (808) 876-4332
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060726000057 | I | Family Practice | WI | TBD |
| I20190311001835 | I | Family Practice | TX | TBD |
| I20231002002740 | I | Family Practice | OH | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 117 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 81003 | Automated urinalysis test | 14 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 96790)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 83036 | Hemoglobin A1C level | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
Reviews
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