Active NPI
Scott A Jorgensen, M.D.
- Internal Medicine Physician
- Mequon, WI
National Provider Identifier
1184654725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31133
- Practice address
- 13133 N Port Washington Rd
Suite G18
Mequon, WI 53097-2419 - Phone
- (262) 243-5000
- Fax
- (262) 243-5317
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31133 | WI | Primary |
Addresses
Primary practice location
13133 N Port Washington Rd
Suite G18
Mequon, WI 53097-2419
Mailing address
788 N Jefferson St
Suite 300/Attn. Kaaren Butzen
Milwaukee, WI 53202-3718
Phone (414) 272-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184654725 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Wisconsin, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13133 N Port Washington Rd
Suite G 18
Mequon, WI 53097-2420
Phone (262) 243-5000
Hospital & facility affiliations
- Horizon Homecare and Hospice
- Ascension Columbia St Marys Hospital Milwaukee
- Orthopaedic Hospital of Wisconsin
- Ascension SE Wisconsin Hospital
- Aurora Medical Center
- Froedtert Memorial Lutheran Hospital
- Newcastle Place
- Saint Johns on the Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Practice Physician
- Milwaukee, WI
- NPI 1588695746
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1184654725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N JEFFERSON ST",
"address_2": "SUITE 300/ATTN. KAAREN BUTZEN",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023718",
"telephone_number": "414-272-8950",
"fax_number": "414-272-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13133 N PORT WASHINGTON RD",
"address_2": "SUITE G18",
"city": "MEQUON",
"state": "WI",
"postal_code": "530972419",
"telephone_number": "262-243-5000",
"fax_number": "262-243-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "31133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184654725",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.