Jessica Sorensen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2638 Issued in CO

Practice address

206 W County Line Rd Ste 340
Highlands Ranch, CO 80129-2321

Phone

(303) 888-6426

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearview Dermatology PLLCGroup PAC ID 6507265121, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Clearview Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • Arvada, CO
  • NPI 1548874449
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1275789984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD STE 340",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292321",
            "telephone_number": "303-888-6426",
            "fax_number": "303-302-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD STE 340",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292321",
            "telephone_number": "303-888-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72276738",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisha Somuri, O.D.
• Brendon Taesup Song, DDS
• Jing Song, M.T.
• Krupa M Soni, DDS
• Heather Dawn Sonner, CSFA
• Sorianna Homecare Company
• South Metro Integrated Clinic
• Southpark Internal Medicine PC
• Speak Up Unlimited LLC
• Donna Specht

• Surgical Physician Assistant in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.

Verify at the official NPI Registry.