Individual provider Active NPI

Wade K. Jensen, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Afton, WY
National Provider Identifier
1730139890
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
14531A Issued in WY
Practice address
110 Hospital LN
Afton, WY 83110-9409
Phone
(307) 885-5870
NPI assigned
May 11, 2006
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 7176 SD
Orthopaedic Surgery Physician 207X00000X 45935 WI
Orthopaedic Surgery Physician 207X00000X 6387824-1205 UT
Orthopaedic Surgery Physician 207X00000X 37741 IA
Orthopaedic Surgery of the Spine Physician 207XS0117X M11435 ID
Orthopaedic Surgery of the Spine Physician 207XS0117X 14531A WY Primary

Addresses

Primary practice location

110 Hospital LN
Afton, WY 83110-9409

Mailing address

110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870

Other practice location 1

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5870

Other practice location 2

120 Hospital Ln
Afton, WY 83110-9409
Phone (307) 885-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222002696 WY Practitioner - Orthopedic Surgery 4486752706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970

195 Feather Way
Evanston, WY 82930-9352
Phone (307) 789-0096

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800

904 Adams St
Afton, WY 83110-9621
Phone (307) 885-4873

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7176SDMDPharmacist
37741IAMDOrthopaedic Surgery Physician
45935WIMDOrthopaedic Surgery Physician
M11435IDMDOrthopaedic Surgery of the Spine Physician
14531AWYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
North Lincoln County Hospital District CurrentSince Apr 1, 2022 Accepting new patients
North Lincoln County Hospital District CurrentSince Apr 1, 2022 Accepting new patients
Orthopaedic Spine Surgeons Orthopaedic Surgery of the Spine Past Accepting new patients
University of Utah Orthopedic Consultants Orthopaedic Surgery Past Accepting new patients

Locations

106 Hospital Ln
Afton, WY 83110

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

120 Hospital Ln
Afton, WY 83110
Phone (307) 734-5864

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

195 Feather Way
Evanston, WY 82930
Phone (307) 200-9200

Interoperability endpoints

  • Direct secure messaging: wjensen39155@direct.unitypoint.org
  • Direct secure messaging: wjensen623298@direct.ochin.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1730139890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL LN",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109409",
            "telephone_number": "307-885-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL LN",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109409",
            "telephone_number": "307-885-5870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Adams St",
            "address_purpose": "LOCATION",
            "city": "Afton",
            "state": "WY",
            "postal_code": "831109621",
            "country_code": "US",
            "telephone_number": "307-885-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Afton",
            "state": "WY",
            "postal_code": "831109409",
            "country_code": "US",
            "telephone_number": "307-885-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "WADE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "7176",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "45935",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "6387824-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "37741",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "ID",
            "license": "M11435",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WY",
            "license": "14531A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, WY

Sources for this page

Verify at the official NPI Registry.