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

Dustin Wade

Individual provider Family Nurse Practitioner · NPI 1013323336

Dustin Wade is a Nurse Practitioner in Shawnee, Oklahoma. Qualified in 2014, 12 years ago. Practices with Prague Healthcare Authority, a 13-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2014

Practice location Address checks out

2508 N Harrison St
Shawnee, OK 74804-3131
Phone: (405) 585-2030
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 91102 (OK)

Record details

NPI number1013323336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prague Healthcare Authority — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shawnee