Jason W Jorgensen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10528188-1206 Issued in UT

Practice address

525 N Main St
Ephraim, UT 84627-1155

Phone

(435) 283-4076

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ihc Health Services, Inc.

  dba Intermountain Health Sanpete Valley Hospital

  • Critical Access Hospital
  • Mt Pleasant, UT
  • NPI 1407964398
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment
• Ihc Health Services Inc

  dba Avenues Inpatient Psychiatry

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1568715092
  NPD
• Ihc Health Services Inc

  dba Heber Valley Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Heber City, UT
  • NPI 1720032865
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  dba Orem Community Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1366953754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N 2400 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846017268",
            "telephone_number": "435-469-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271155",
            "telephone_number": "435-283-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10528188-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Irons
• Donnell Marie Johansen
• Brian Charles Johanson
• Stacey Lynn Johanson
• Correen Johnson
• Journey Counseling Center Sanpete LLC the (Sunray Family Counseling)
• Linsey Nicole Keller, LCSW
• Autumn Rae Kennedy
• Trey Ned Kimball, CSW
• April King

• Physician Assistant in Ephraim, UT
• Providers in Ephraim, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.