MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) – Physician Assistant, NPI 1477060572

MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) is a healthcare provider. based in Burnsville, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12604 (MN). The NPI Number for MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) is 1477060572

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID WADE MCGEHEE-DE JESUS (PA-C)
NPI
1477060572
Phone
(612) 444-3000
Address
2428 E 117TH ST
Enumeration Date
10 January 2018
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124443000
Graduation Year
2017 (9 years ago)
PAC ID
0446639298
Group Practice PAC ID
7517198211
Professional Enrollment ID
I20220624000657
Address ID
MN554183055MI2847XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

4,048 PHYSICIAN ASSISTANT in MN

Provider Addresses for MR. DAVID WADE MCGEHEE-DE JESUS (PA-C)

  • 2428 E 117TH ST

    BURNSVILLE, MN 553371269

    Phone: (612) 444-3000

    Fax: (612) 444-9000

    Type: Location

  • 3627 NICOLLET AVE APT 104

    MINNEAPOLIS, MN 554091256

    Phone: (612) 730-6015

    Type: Mailing

  • VA Medical Center, 1, Veterans Drive, Hennepin County, Minnesota, 55417, United States

    MINNEAPOLIS, MN 554172309

    Phone: (612) 725-2000

    Type: Location

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: 2022-06-24

PECOS data refreshed: 2026-06-15

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
I20220624000657IPhysician AssistantMNTBD

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
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1411$0
View full utilization report →

Insurance plans in this area (ZIP 55337)

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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: 7517198211View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Physician AssistantIN
-MN
Nurse PractitionerMN
Pain Management, Physical Medicine And RehabilitationMN
Physician AssistantMN
Addiction MedicineMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Where can patients find MR. DAVID WADE MCGEHEE-DE JESUS (PA-C)'s NPI?
You can confirm MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) with NPI 1477060572; it appears in the national provider directory.
Is MR. DAVID WADE MCGEHEE-DE JESUS (PA-C)'s NPI currently valid?
The extract we use shows MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) as active.
Can you summarize MR. DAVID WADE MCGEHEE-DE JESUS (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) practice in Minnesota?
You will see Burnsville, Minnesota on file for MR. DAVID WADE MCGEHEE-DE JESUS (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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