NPI age
16 years
Enumerated 2009-10-09
● Active
Type 1 · Individual
MR. Jeremy Paul Wade, FNP, ENP, PMHNP
Wade is 1 of 123 nurse practitioner providers in Meridian and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 9 subspecialties
Licensed in
MS, OR, ID
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Practice location
1047 S Wells St
Meridian, ID 836427997
Mailing address
4780 I 55 N, Suite 116, Pmb 989333
Jackson, MS 392116067
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
701 S Holly Ave
Collins, MS 394283894
Location 3
1534 Sw Obsidian Ave
Redmond, OR 977563228
Location 4
136 Walter Lott Rd
Seminary, MS 394794414
Location 5
3425 13th St
Baker City, OR 978141340
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 00534527 | |
| 05 (OR) | 500830485 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Meridian in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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