DUSTIN WADE – Family Nurse Practitioner, NPI 1013323336

DUSTIN WADE is a healthcare provider. based in Shawnee, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 91102 (OK). The NPI Number for DUSTIN WADE is 1013323336

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN WADE
NPI
1013323336
Phone
(405) 585-2030
Address
2508 N HARRISON ST
Enumeration Date
8 July 2014
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055852030
Graduation Year
2014 (12 years ago)
PAC ID
2668718891
Group Practice PAC ID
4183856784
Professional Enrollment ID
I20190109002012
Address ID
OK748043131SH2508XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for DUSTIN WADE

  • 2508 N HARRISON ST

    SHAWNEE, OK 748043131

    Phone: (405) 585-2030

    Type: Location

  • 821 E VETERANS MEMORIAL HWY

    BLANCHARD, OK 730109215

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: ABBVIE INC. ($54).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$54
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: 2019-01-09

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
I20190109002012INurse PractitionerOKTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes192124$0
80305Testing for presence of drug, read by direct observation9335$0
99213Established patient office or other outpatient visit, 20-29 minutes7951$0
87804Detection test by immunoassay with direct visual observation for influenza virus3317$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2625$0
View full utilization report →

Insurance plans in this area (ZIP 74804)

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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: 4183856784View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What unique ID ties claims to DUSTIN WADE?
NPI 1013323336 is assigned to DUSTIN WADE under the national enumeration system.
Is DUSTIN WADE currently active in the NPI registry?
CMS-published data lists DUSTIN WADE as an active registrant.
What field does DUSTIN WADE work in?
You can think of DUSTIN WADE as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DUSTIN WADE?
The snapshot lists Shawnee, Oklahoma for DUSTIN WADE; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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