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

Kelly Baker Wade, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1902025034

Kelly Baker Wade, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2006, 20 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 545-7100
Fax: (901) 448-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 12718 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN131565 (TN)

Record details

NPI number1902025034
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 20, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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