Wayne Alexander Jorgensen, P.A-C
Individual provider Active NPI Physician Assistant · Cologne, MN
NPI 1932391083 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1932391083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10335 (MN)
- Practice address
- 243 Winkler TRL
Cologne, MN 55322-8013 - Phone
- (612) 720-3985
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alomere Health
Practice addresses (Care Compare)
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Hospital & facility affiliations
- St Gabriels Hospital
- Alomere Health
- Mille Lacs Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20071114000028 | MN | Practitioner - Physician Assistant | 6406944107 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10335 | MN | MD | General Practice Dentistry |
| 1044 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current |
Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| Alomere Health | Current |
Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Alomere Health | Current |
Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| Mille Lacs Health System | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Douglas County Hospital | Physician Assistant | Past | Accepting new patients |
| Mille Lacs Health System | Past | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384
203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
Interoperability endpoints
- wjorgensen990@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1044 | MN | |
| Physician Assistant | 363A00000X | 10335 | MN | Yes |
Addresses
Primary practice location
243 Winkler TRL
Cologne, MN 55322-8013
Mailing address
1305 15TH St NE Apt 314
Sauk Rapids, MN 56379-2379
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812998000 | Medicaid | MN |
Other providers in Cologne, MN
- Growth Edge Therapy Services LLC
- Tracy J Hyde
- James Mark Jonas
- Katherine Kerr Jonas
- Lisa A Jonas
- Karen Kahler
- Janelle Monson
- Jackie Rademacher
- Samantha Brazil Reinarts
- The Jonas Center, Inc.
All providers in Cologne, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 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.