Doctor profile · Federal record
Dr. Michelle Wade, PA-C
Physician Assistant · Pediatrics Physician · Pediatric Adolescent Medicine Physician · Jacksonville, FL
- NPI 1518969377
- 21 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10325 San Jose Blvd
Jacksonville, FL 322576204
(904) 717-1034 - Mailing address
-
168 Shadow Ridge Trl
Ponte Vedra, FL 320810068
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- March 7, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Florida #PA113264 · Florida #PA9113264 · Pennsylvania #MA051342
- Medicaid
- FL #113755000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518969377. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $16.79 |
By nature of payment
Frequently asked questions
What is Dr. Michelle Wade's medical specialty?
Dr. Michelle Wade practices Physician Assistant in Jacksonville, FL.
Where does Dr. Michelle Wade practice?
Dr. Michelle Wade practices at 10325 San Jose Blvd, Jacksonville, FL 322576204. Office phone: 9047171034.
What is Dr. Michelle Wade's NPI?
Dr. Michelle Wade's National Provider Identifier (NPI) is 1518969377, issued by NPPES.