Individual provider Active NPI

Jesse Richard Wolfe III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1467802595
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
097365 Issued in IA
Practice address
5139 Mattis Rd Ste 102
Saint Louis, MO 63128-2250
Phone
(314) 396-9517
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 097365 IA Primary

Addresses

Primary practice location

5139 Mattis Rd Ste 102
Saint Louis, MO 63128-2250

Mailing address

5139 Mattis Rd Ste 102
Saint Louis, MO 63128-2250
Phone (314) 396-9517

Other practice location 1

3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127-1374
Phone (314) 396-9517

Other practice location 2

1034 S Brentwood Blvd Ste 1280
Richmond Heights, MO 63117-1263
Phone (314) 396-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190910003657 IA Practitioner - Podiatry 6901135300 Reassigns benefits to 3 organizations
I20230104000651 MO Practitioner - Podiatry 6901135300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

300 Winding Woods Dr
Suite 206
O Fallon, MO 63366-4773
Phone (636) 861-7870

3760 S Lindbergh Blvd
Suite 101
Saint Louis, MO 63127-1374
Phone (314) 396-9517

710 S Grand Ave
Spencer, IA 51301-5730
Phone (866) 239-4254

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Feb 15, 2024 Accepting new patients
Spencer Municipal Hospital Foot & Ankle Surgery CurrentSince Jan 1, 2020 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Lakes Regional Healthcare CurrentSince Jan 1, 2020 Accepting new patients
Modern Medical Group Inc Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
Lakes Regional Healthcare Current Accepting new patients
Excel Orthopedics LLC Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

710 S Grand Ave
Spencer, IA 51301
Phone (712) 580-5074

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste C
Spencer, IA 51301
Phone (712) 262-7511

300 Winding Woods Dr
Ste 206
O Fallon, MO 63366
Phone (636) 239-8097

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

3760 S Lindbergh Blvd
Ste 101
Saint Louis, MO 63127
Phone (314) 396-9517

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517

1034 S Brentwood Blvd
Ste 1280
Saint Louis, MO 63117
Phone (314) 396-9517

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: jwolfe@usfas.emadirect.md
  • Direct secure messaging: jessewolfe@nwiabonejo.allscriptsdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1467802595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 MATTIS RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282250",
            "telephone_number": "314-396-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 MATTIS RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282250",
            "telephone_number": "314-396-9517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 S Lindbergh Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271374",
            "country_code": "US",
            "telephone_number": "314-396-9517",
            "fax_number": "612-444-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 S Brentwood Blvd Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171263",
            "country_code": "US",
            "telephone_number": "314-396-9517",
            "fax_number": "612-444-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JESSE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "097365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.