Jeremiah Jorgensen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8152398-1206 Issued in UT

Practice address

148 S 1100 E
American Fork, UT 84003-2817

Phone

(385) 336-7461

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Wasatch Dermatology, PC

  • Dermatology Physician
  • Ogden, UT
  • NPI 1891176939
  Medicare reassignment
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  NPD (past)
• Surgical Physicians Assistants Inc

  • Surgical Physician Assistant
  • Mesa, AZ
  • NPI 1417984501
  NPD (past)
• Surgical Professionals, Inc

  • Surgery Physician
  • Mesa, AZ
  • NPI 1982629978
  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1669704045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER ST STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482423",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "385-336-7461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 W 9000 S",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885710",
            "country_code": "US",
            "telephone_number": "801-568-3480",
            "fax_number": "801-568-3482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6460 Medical Center St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482423",
            "country_code": "US",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JEREMIAH",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8152398-1206",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4597",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bryant Jolley, M.D.
• Colleen Jones, LPC
• Evan Jones, D.O.
• Ryan Nelson Jones, M.D.
• Tyson Layne Jones, M.D.
• Michelle Jorgensen
• Juniper Grove Counseling, PLLC
• Jory Kaiser, LAMFT
• Kane County Hospital Human Resource Special Service District
• Kane County Human Resource Special Service District

• Physician Assistant in American Fork, UT
• Providers in American Fork, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.