DR. LYDIA M WADE (M.D.) – Obstetrics & Gynecology Physician, NPI 1992926893

DR. LYDIA M WADE (M.D.) is a healthcare provider. based in St cloud, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 52114 (MN). The NPI Number for DR. LYDIA M WADE (M.D.) is 1992926893

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYDIA M WADE (M.D.)
NPI
1992926893
Phone
(320) 654-3610
Address
1900 CENTRA CARE CIRCLE
Enumeration Date
1 May 2007
Last Update Date
11 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
0941340319
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20091215000531
Address ID
MN563035000SA1900XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

Provider Addresses for DR. LYDIA M WADE (M.D.)

  • 1900 CENTRA CARE CIRCLE

    CENTRA CARE CLINIC - WOMEN'S & CHILDRENS

    ST CLOUD, MN 563035000

    Phone: (320) 654-3610

    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: 2009-12-15

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
I20091215000531IObstetrics/GynecologyMNTBD

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

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4829$0
A4562Pessary, non rubber, any type1613$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LYDIA M WADE (M.D.)?
DR. LYDIA M WADE (M.D.) — NPI 1992926893 — is the standard way to identify this listing.
Does the file indicate DR. LYDIA M WADE (M.D.) is practicing under active NPI?
Directory data currently reports DR. LYDIA M WADE (M.D.) as active.
What is DR. LYDIA M WADE (M.D.)'s specialty?
The listing groups DR. LYDIA M WADE (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LYDIA M WADE (M.D.) based?
DR. LYDIA M WADE (M.D.) is tied to St Cloud, Minnesota in the data we show; additional addresses may exist on the full record.
Why does DR. LYDIA M WADE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.