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

Dr. Jasen Thomas Pedersen, DPM

Individual provider Podiatrist · NPI 1114182326

Dr. Jasen Thomas Pedersen, DPM is a Podiatry in Crestwood, Kentucky. Graduated from Kent State University College of Podiatric Medicine in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
18
Trained at
Kent State University College of Podiatric Medicine
Licensed in
KY
In the registry since
2008
Specialties on file
2
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

6400 Westwind Way Ste B
Crestwood, KY 40014-6773
Phone: (502) 276-9999
Fax: (502) 276-9999
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 243971 (KY)
Podiatrist Taxonomy 213E00000X · Licence 243971 (KY)

Record details

NPI number1114182326
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 28, 2008
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing address6400 Westwind Way, Suite B, Crestwood, KY 40014-6773

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crestwood