Chad A Jorgensen, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01074 Issued in OR

Practice address

2400 Hartman LN
Springfield, OR 97477-1118

Phone

(541) 334-3350

Fax

(541) 284-5198

NPI assigned

Dec 11, 2006

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 OR

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oregon Urology Institute PCGroup PAC ID 6608766399, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
• Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
• Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.74

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.57 of 100Reported as group

Quality

93.49

Promoting interoperability

100

Improvement activities

40

Cost

61.74

Merit-based Incentive Payment System (MIPS)

Final score

82.68 of 100Reported as group

Quality

73.02

Promoting interoperability

80

Improvement activities

40

Cost

85.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: cajorgen@yourcarecommunity.org

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.

• Oregon Urology Institute PC

  • Specialist
  • Springfield, OR
  • NPI 1801812078
  Medicare reassignment Care Compare group
• Oregon Anesthesiology Group PC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1477527786
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation
• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation
• Peacehealth

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1083888515
  Care Compare affiliation
• Peacehealth

  • Psychiatric Hospital Unit
  • Eugene, OR
  • NPI 1568236974
  Care Compare affiliation
• Peacehealth

  • Critical Access Hospital
  • Florence, OR
  • NPI 1578552402
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1649330846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350",
            "fax_number": "541-284-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350",
            "fax_number": "541-284-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy D Jones
• Brian P Jones, MD
• Jasmine Shaniece Jones, MSW
• Jennifer Marie Jones
• Sterling Lee Jones
• Natasha Joseph
• Gary Dwayne Josephsen
• Joshua J Clark MD LLC
• Nikki Jupe, REGISTERED DIETITIAN
• Amanda Lael Jura, DNP-FNP

• Physician Assistant in Springfield, OR
• Providers in Springfield, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.