KRISTY A WADE (DNP,APRN,PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417678749

KRISTY A WADE (DNP,APRN,PMHNP) is a healthcare provider. based in Dumfries, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP,APRN,PMHNP. They hold a License No. 0024185007 (VA). The NPI Number for KRISTY A WADE (DNP,APRN,PMHNP) is 1417678749

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY A WADE (DNP,APRN,PMHNP)
NPI
1417678749
Phone
(571) 636-1800
Address
17932 FRALEY BLVD STE 240
Enumeration Date
6 September 2022
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035924600
Graduation Year
2022 (4 years ago)
PAC ID
2769842830
Group Practice PAC ID
3375978984
Professional Enrollment ID
I20230720002705
Address ID
VA221823962VI2110XRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for KRISTY A WADE (DNP,APRN,PMHNP)

  • 17932 FRALEY BLVD STE 240

    DUMFRIES, VA 220262456

    Phone: (571) 636-1800

    Type: Mailing

  • 2110 GALLOWS RD STE D

    VIENNA, VA 221823962

    Phone: (703) 592-4600

    Fax: (703) 592-4601

    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 $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($218).

Total Amount

$244

General + Research + Ownership

Payments

3

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-20

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
I20230720002705INurse PractitionerDCTBD

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 22026)

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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: 3375978984View full group profile
NameSpecialtyState
Mental Health CounselorVA
Family Practice, General PracticeVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YPA
P S Y C H I A T R YVA
Psychiatry, Geriatric PsychiatryMD
Mental Health CounselorVA
Psychiatry, NeuropsychiatryVA

Reviews

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Frequently asked questions

What is the standard ID for KRISTY A WADE (DNP,APRN,PMHNP) in the U.S.?
In the U.S., KRISTY A WADE (DNP,APRN,PMHNP) is identified by NPI 1417678749.
Is KRISTY A WADE (DNP,APRN,PMHNP)'s NPI status active today?
Active status means KRISTY A WADE (DNP,APRN,PMHNP)'s NPI record is not deactivated in the public file.
How should patients interpret KRISTY A WADE (DNP,APRN,PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for KRISTY A WADE (DNP,APRN,PMHNP). Clinical services aligned with this taxonomy classification.
What city is tied to KRISTY A WADE (DNP,APRN,PMHNP)?
The directory associates KRISTY A WADE (DNP,APRN,PMHNP) with Dumfries, Virginia. Check all listed addresses for suites or satellite offices.
Why is information missing for KRISTY A WADE (DNP,APRN,PMHNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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