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

Dr. Jacob H Nelson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104267780

Dr. Jacob H Nelson, DPM is a Podiatry in Mesa, Arizona. Graduated from Arizona Podiatric Med Program at Midwestern Un in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Trained at
Arizona Podiatric Med Program at Midwestern Un
Licensed in
AZ
In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

5432 E Southern Ave Ste 101B
Mesa, AZ 85206-2772
Phone: (480) 210-3336
Fax: (480) 210-3339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1520 S Dobson Rd, Mesa, AZ 85202-4725 — (480) 844-8218

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0832 (AZ)

Record details

NPI number1104267780
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESOctober 18, 2022
Certification dateOctober 17, 2022
Mailing address5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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