Mrs Crystal Ann Wade, MSN, AG-ACNP-BC in Jacksonville, FL

Mrs Crystal Ann Wade, MSN, AG-ACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Jacksonville, Florida. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 655 W. Eighth St, Acc Building 2nd Floor, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-1010.

Mrs Crystal Ann Wade is licensed to practice in Florida (license number 11002837) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073173142.

Contact Information

	Mrs Crystal Ann Wade, MSN, AG-ACNP-BC
	655 W. Eighth St, Acc Building 2nd Floor, Jacksonville, FL 32209-3220
	(904) 244-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Crystal Ann Wade
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	655 W. Eighth St, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Crystal Ann Wade graduated from nursing school in 2019

NPI Data:

NPI Number: 1073173142
Provider Enumeration Date: 06/19/2019
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 5395072847
Enrollment ID: I20190807001360

Medical Identifiers

Medical identifiers for Mrs Crystal Ann Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073173142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11002837 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11002837 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	11002837 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Florida Jacksonville Physicians, Inc.	9133025869	665

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Crystal Ann Wade allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

Entity Name	Wells Surgical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174863872 PECOS PAC ID: 0143465930 Enrollment ID: O20130327000345

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Crystal Ann Wade is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Crystal Ann Wade, MSN, AG-ACNP-BC 2285 Marsh Hawk Ln Apt 13102, Fleming Island, FL 32003-3309 Ph: (757) 291-3876	Mrs Crystal Ann Wade, MSN, AG-ACNP-BC 655 W. Eighth St, Acc Building 2nd Floor, Jacksonville, FL 32209-3220 Ph: (904) 244-1010

Reviews and Comments

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Mrs Crystal Ann Wade, MSN, AG-ACNP-BC - Medicare Nurse Practitioner in Jacksonville, FL