Ms Kenya Michelle Wade, CPNP - Medicare Nurse Practitioner in Dumfries, VA

Ms Kenya Michelle Wade, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dumfries, Virginia. Her current practice location is 3700 Fettler Park Dr, Dumfries, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 441-7655.

Ms Kenya Michelle Wade is licensed to practice in Virginia (license number 0024174942) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265707160.

Contact Information

Ms Kenya Michelle Wade, CPNP
3700 Fettler Park Dr,
Dumfries, VA 22025-2050
(703) 441-7655
Not Available

Map and Direction




Provider's Profile

Full NameMs Kenya Michelle Wade
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3700 Fettler Park Dr, Dumfries, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265707160
  • Provider Enumeration Date: 03/12/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224375571
  • Enrollment ID: I20190124003511

Medical Identifiers

Medical identifiers for Ms Kenya Michelle Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265707160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 5005514 (North Carolina)Secondary
363LP0200XNurse Practitioner - Pediatrics 0024174942 (Virginia)Primary

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. Ms Kenya Michelle 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 AddressPractice Location Address
Ms Kenya Michelle Wade, CPNP
28 Christopher Way,
Stafford, VA 22554-7811

Ph: (540) 658-9127
Ms Kenya Michelle Wade, CPNP
3700 Fettler Park Dr,
Dumfries, VA 22025-2050

Ph: (703) 441-7655

Reviews and Comments


Nurse Practitioner Nurses in Dumfries, VA

Angela Ann Fasanella, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17739 Main St Ste 110, Dumfries, VA 22026
Phone: 703-574-3415    Fax: 757-452-5768
Yoko Akamine Elsasser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    Fax: 540-644-8805
Priya Bhattarai,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16712 Jefferson Davis Hwy, Dumfries, VA 22026
Phone: 866-389-7272    
Mrs. Judy Lorraine Reynolds, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    Fax: 540-374-1164
Zahida Noor,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025
Phone: 571-499-5813    
Susan Wood Roohr, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 703-441-7500    
Judy Billig Mcmanus, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5129 Olivia Way, Dumfries, VA 22025
Phone: 434-531-2598    

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