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.

See every abbreviation used in this directory →

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

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