Stacy Wade is a Fort Myers, Florida based nurse practitioner with 20 years of experience in . She completed her graduation in 2005. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacy Wade is APRN11012868 for Family in Florida. Her current practice location is 2780 Cleveland Ave Ste 819, Fort Myers. Patients can reach her at 239-343-3800 or can fax her at 239-343-3993. Stacy Wade is NP and her NPI number (Unique professional ID assigned by NPPES) is 1770742462. Stacy Wade has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacy Wade speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Stacy Wade
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Accepts Medicare Assignment:
Yes
Practice Address:
2780 Cleveland Ave Ste 819, Fort Myers, Florida, 33901-5817
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7911066196
Enrollment ID:
I20211102001660
NPI Number:
1770742462
NPI Enumeration Date:
06 Jun, 2008
NPI Last Update On:
04 Jan, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Wade are as mentioned below.
License Number
Specialization
State
Status
APRN11012868
Family
Florida
Primary
28150715A
Nurse Practitioner
Indiana
Secondary
71002094A
Family
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100012)
Fort myers, FL
Acute Care Hospital
(100220)
Fort myers, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stacy Wade is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lee Memorial Health System (8729996608)
840
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy Wade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200903990
Medicaid
Indiana
P01307686
Other
Indiana
MEDICARE RR PTAN
112417400
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stacy Wade Po Box 2147, Fort Myers, Florida
Zip:
33902-2147
Phone Number:
239-343-3800
Fax Number:
239-343-3993
Patients can reach Stacy Wade at 2780 Cleveland Ave Ste 819, Fort Myers, Florida or can call to book an appointment on 239-343-3800.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.