Active NPI
Karen Elizabeth Jorge
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110975
- Practice address
- 1400 N Semoran Blvd Ste E
Orlando, FL 32807-3562 - Phone
- (407) 823-8421
- Fax
- (407) 823-8195
- NPI assigned
- Jan 17, 2018
- Last updated
- May 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9110975 | FL | Primary |
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | ME124792 | FL |
Addresses
Primary practice location
1400 N Semoran Blvd Ste E
Orlando, FL 32807-3562
Mailing address
5450 Los Palma Vista Dr
Orlando, FL 32837-4608
Phone (786) 506-0389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Orando, FL 32832
Phone (321) 414-4829
2000 NW 87TH Ave
Suite 101 102
Doral, FL 33172-2654
Phone (844) 665-4827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124792 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Multi-Specialty | Current | Accepting new patients |
| Meharry Health Network, PC | Multi-Specialty | Current | Accepting new patients |
| Compass Counseling Services,LLC | Past | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
Organizations & group practices 4
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.
-
dba Clinisanitas
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
Multi-Specialty
-
- Dermatology Physician
- Orlando, FL
- NPI 1790550812
-
- Family Medicine Physician
- Franklin, TN
- NPI 1942839147
FL, Multi-Specialty
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1790157626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1558879114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 LOS PALMA VISTA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374608",
"telephone_number": "786-506-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N SEMORAN BLVD STE E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073562",
"telephone_number": "407-823-8421",
"fax_number": "407-823-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGE",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110975",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME124792",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Jorge E. Quintero (Exclusive Dentistry)
- Jorge E. Quintero (Exclusive Dentistry)
- Anniet Jorge Gomez, RBT
- Jorge J. Perez, M.D., P.a.
- Jorge L. Mercado Richardson (Natural Smiles of Orlando)
- Kevin Jorgenson, CRNA
- Zoila Elizabeth Jorro, D.O
- Jose a Ortiz DMD PL
- Jose Andrade MD PA (Allergy Asthma Immunology Care of Central FL)
- Jose Andrade MD PA (Allergy Asthma Immunology Care of Central FL)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.