CHRISTINA WADE – Psychiatric/Mental Health Nurse Practitioner, NPI 1154124766

CHRISTINA WADE is a healthcare provider. based in Revere, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2308758 (MA). The NPI Number for CHRISTINA WADE is 1154124766

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CHRISTINA WADE
NPI
1154124766
Phone
(781) 485-6100
Address
300 OCEAN AVE
Enumeration Date
29 March 2025
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7814856060
Graduation Year
2025 (1 year ago)
PAC ID
5395232060
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20251015004239
Address ID
MA021513675RE300XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for CHRISTINA WADE

  • 300 OCEAN AVE

    REVERE, MA 021513675

    Phone: (781) 485-6100

    Mailing address matches the actual address.

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: 2025-10-15

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
I20251015004239INurse PractitionerMATBD

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 02151)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINA WADE?
NPI 1154124766 is assigned to CHRISTINA WADE under the national enumeration system.
Is CHRISTINA WADE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CHRISTINA WADE treat or focus on?
Patients typically see CHRISTINA WADE under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CHRISTINA WADE's primary listing?
We display Revere, Massachusetts because that is what the record indicates for CHRISTINA WADE.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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