Abigail Jorgensen, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Soldotna, AK
NPI 1700403235 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1700403235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 163063 (AK)
- Practice address
- 230 E Marydale Ave
Soldotna, AK 99669-7648 - Phone
- (907) 262-3119
- Fax
- (907) 262-9290
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Wisconsin School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care of Soldotna Inc
Soldotna Family Practice LLC
Practice addresses (Care Compare)
44009 Sterling Hwy
Suite a
Soldotna, AK 99669
44009 Sterling Hwy
Suite a
Soldotna, AK 99669-8030
Phone (907) 420-0585
44604 Sterling Hwy
Suite D
Soldotna, AK 99669-7962
Phone (907) 420-0585
Hospital & facility affiliations
- Central Peninsula General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200819000865 | AK | Practitioner - Nurse Practitioner | 4385060599 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019095768 | WI | MD | Family Medicine Physician |
| 163063 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobbie J. Behrens, MD OB/GYN, LLC | Current | Accepting new patients | |
| Urgent Care of Soldotna Inc. | Current |
Accepting new patients | |
| Soldotna Family Practice LLC | Current |
Accepting new patients | |
| Peninsula Community Health Services of Alaska, Inc. | Past | Accepting new patients |
Locations
44604 Sterling Hwy
Ste D
Soldotna, AK 99669
Phone (907) 420-0476
35670 Kenai Spur Hwy
Ste 101B
Soldotna, AK 99669
Phone (907) 262-2615
44009 Sterling Hwy
Soldotna, AK 99669
Interoperability endpoints
- https://api.platform.athenahealth.com/20934/brand/1/csg/1/fhir/r4
- abigail.jorgensen.1@20934.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/AEIFAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 163063 | AK | Yes |
| Family Medicine Physician | 207Q00000X | 2019095768 | WI |
Addresses
Primary practice location
230 E Marydale Ave
Soldotna, AK 99669-7648
Mailing address
PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 262-3119
Other names
- Abigail Iwen
NPI Registry JSON
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1700403235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2949",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996692949",
"telephone_number": "907-262-3119",
"fax_number": "907-262-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E MARYDALE AVE",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697648",
"telephone_number": "907-262-3119",
"fax_number": "907-262-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "ABIGAIL",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "163063",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "2019095768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "IWEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Soldotna, AK
- Tara Johnson
- Stephen G Jolley
- Cory Deon Jones
- Darla Jones
- Kylie B Jones
- Joseph J Mirci DMD
- Nicholas James Josten
- Jovial Therapy Services LLC
- Jovial Therapy Services LLC
- Jan Justice
All providers in Soldotna, AK · Family Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.