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Wade Willis, LPN
NPI 1164288395 · Licensed Practical Nurse · Malone, NY
Wade Willis, LPN is a Licensed Practical Nurse provider in Malone, NY (NPI 1164288395).
Provider details
- NPI number
- 1164288395
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 341789 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31 6th St
Malone, NY 12953-1246
Phone: (518) 319-6825
Approximate (ZIP-level) locationGet directions
Mailing address
324 County Route 51 Bldg 1
Malone, NY 12953-4502
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Frequently asked questions
- What is Wade Willis's NPI number?
- Wade Willis's National Provider Identifier (NPI) is 1164288395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wade Willis's specialty?
- Wade Willis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Wade Willis located?
- Wade Willis's practice location on file with NPPES is 31 6th St, Malone, NY 12953-1246.
- What is Wade Willis's phone number?
- The practice phone number listed in the NPPES registry for Wade Willis is (518) 319-6825.
- Is Wade Willis's NPI active?
- Yes — Wade Willis's NPI (1164288395) is active in the NPPES registry as of the last update on 2024-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.