Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian A Wade

Individual provider Family Nurse Practitioner · NPI 1114641370

Brian A Wade is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2021, 5 years ago. Practices with Asante, a 135-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022

Practice location Address checks out

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone: (541) 472-7430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11015250 (FL)

Record details

NPI number1114641370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing address3480 Exeter Ct, Belle Isle, FL 32812-6029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Asante — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grants Pass