DR. JESSE D WALDEN (D.C.) – Sports Physician Chiropractor, NPI 1578719340

DR. JESSE D WALDEN (D.C.) is a healthcare provider. based in Shawnee, Kansas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 01-05054 (KS). The NPI Number for DR. JESSE D WALDEN (D.C.) is 1578719340

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE D WALDEN (D.C.)
NPI
1578719340
Phone
(913) 825-1235
Address
11652 W. 75 ST.
Enumeration Date
13 August 2008
Last Update Date
13 August 2008

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
6204010366
Group Practice PAC ID
9739190828
Professional Enrollment ID
I20110414000077
Address ID
IA528073485DA4626XDXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

784 CHIROPRACTIC in KS

Provider Addresses for DR. JESSE D WALDEN (D.C.)

  • 11652 W. 75 ST.

    SHAWNEE, KS 66214

    Phone: (913) 825-1235

    Type: Location

  • 11652, West 75th Street, Shawnee, Johnson County, Kansas, 66214, United States

    SHAWNEE, KS 662141372

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110414000077IChiropracticIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions25038$0
View full utilization report →

Insurance plans in this area (ZIP 66214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739190828View full group profile
NameSpecialtyState
C H I R O P R A C T I CIA
C H I R O P R A C T I CIA

Reviews

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Frequently asked questions

What number should I use to identify DR. JESSE D WALDEN (D.C.) for billing?
Administrative and clinical systems typically use NPI 1578719340 for DR. JESSE D WALDEN (D.C.).
Is DR. JESSE D WALDEN (D.C.)'s NPI status active today?
Active status means DR. JESSE D WALDEN (D.C.)'s NPI record is not deactivated in the public file.
What type of care does DR. JESSE D WALDEN (D.C.) provide?
DR. JESSE D WALDEN (D.C.)'s profile centers on Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JESSE D WALDEN (D.C.)?
DR. JESSE D WALDEN (D.C.) is associated with Shawnee, Kansas in the same public data insurers reference.
Who maintains DR. JESSE D WALDEN (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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