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

Dr. Todd Alan Derksen, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1053578682

Dr. Todd Alan Derksen, DPM is a Podiatry in Appleton, Wisconsin. Qualified in 2005, 21 years ago. Practices with Northeast Wisconsin Foot and Ankle Assoc SC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1301 E Northland Ave Ste B
Appleton, WI 54911
Phone: (920) 731-1999
Fax: (920) 731-3729
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 953-25 (WI)

Record details

NPI number1053578682
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northeast Wisconsin Foot And Ankle Assoc Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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