Active NPI
Lacey Jorgensen
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1851272033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA067192
- Practice address
- 11 S Letitia St Apt 303
Philadelphia, PA 19106-3010 - Phone
- (848) 210-6568
- NPI assigned
- Sep 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA067192 | PA | Primary |
Addresses
Primary practice location
11 S Letitia St Apt 303
Philadelphia, PA 19106-3010
Mailing address
11 S Letitia St Apt 303
Philadelphia, PA 19106-3010
Phone (848) 210-6568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 13579
Reading, PA 19612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1851272033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S LETITIA ST APT 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191063010",
"telephone_number": "848-210-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S LETITIA ST APT 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191063010",
"telephone_number": "848-210-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "LACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.