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

Dr. Wade Allan Jespersen, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1174964654

Dr. Wade Allan Jespersen, DPM is a Podiatry in Queen Creek, Arizona. Qualified in 2013, 13 years ago. Practices with Onesource Senior Healthcare PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
13
Licensed in
AZ, PA
In the registry since
2013
Specialties on file
2
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

19350 E Silver Creek Ln
Queen Creek, AZ 85142-9064
Phone: (480) 718-5400
Fax: (877) 666-4624
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 0843 (AZ)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006516 (PA)

Record details

NPI number1174964654
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESMay 9, 2019
Mailing address14050 N 83rd Ave, Ste 290, Peoria, AZ 85381-5650

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Onesource Senior Healthcare Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare