Individual provider Active NPI

David Wade McGehee-de Jesus, PA-C

  • Physician Assistant
  • Burnsville, MN
National Provider Identifier
1477060572
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12604 Issued in MN
Practice address
2428 E 117TH St
Burnsville, MN 55337-1269
Phone
(612) 444-3000
Fax
(612) 444-9000
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12604 MN Primary

Addresses

Primary practice location

2428 E 117TH St
Burnsville, MN 55337-1269

Mailing address

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624000657 MN Practitioner - Physician Assistant 0446639298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14440 28TH PL N
Plymouth, MN 55447-4846
Phone (612) 444-3000

1530 Assisi Dr NW
Rochester, MN 55901-1637
Phone (612) 444-3000

2428 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 444-3000

2440 E 117TH St
Burnsville, MN 55337-1269
Phone (651) 331-8478

2847 Johnson St NE
Minneapolis, MN 55418-3055
Phone (612) 444-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12604MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pain Relief and Wellness Center, PLLC Current Accepting new patients
Sasaki Medical LLC CurrentSince Mar 3, 2022 Accepting new patients
Valley Pain Relief and Wellness Center, PLLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

403 4th St NW
Ste 140
Bemidji, MN 56601

2428 E 117th St
Burnsville, MN 55337

2440 E 117th St
Burnsville, MN 55337
Phone (651) 331-8478

3111 1st Ave S
Minneapolis, MN 55408
Phone (612) 238-6536

3231 1st Ave S
Minneapolis, MN 55408
Phone (612) 238-6158

2847 Johnson St NE
Minneapolis, MN 55418
Phone (612) 789-7277

14440 28th Pl N
Ste 200
Plymouth, MN 55447
Phone (612) 707-0169

1530 Assisi Dr NW
Rochester, MN 55901
Phone (507) 288-3733

3224 6th Ave NE
Unit B
Rochester, MN 55906

1542 Assisi Dr NW
Rochester, MN 55901
Phone (507) 218-3460

777 Raymond Ave
Saint Paul, MN 55114
Phone (651) 447-3455

1789 Woodlane Dr
Ste A
Woodbury, MN 55125

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1477060572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEHEE-DE JESUS",
        "first_name": "DAVID",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.