Shelis R Jorgensen, ADVANCED NURSE PRACT - Medicare Nurse Practitioner in Palmer, AK

Shelis R Jorgensen, ADVANCED NURSE PRACT is a medicare enrolled "Nurse Practitioner - Family" in Palmer, Alaska. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Select Physical Therapy Holdings Inc, Mat-su Valley Iii Llc, Mat Su Valley Medical Center Llc and her current practice location is 209 W Evergreen Ave Ste A, Palmer, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 861-1450.

Shelis R Jorgensen is licensed to practice in Alaska (license number NURU798) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164481107.

Contact Information

Shelis R Jorgensen, ADVANCED NURSE PRACT
209 W Evergreen Ave Ste A,
Palmer, AK 99645-6952
(907) 861-1450
(907) 861-1460

Map and Direction




Provider's Profile

Full NameShelis R Jorgensen
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location209 W Evergreen Ave Ste A, Palmer, Alaska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelis R Jorgensen graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1164481107
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 10/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800866807
  • Enrollment ID: I20040728000239

Medical Identifiers

Medical identifiers for Shelis R Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164481107NPI-NPPES
1022309MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NURU798 (Alaska)Primary
171M00000XCase Manager/care Coordinator CM3761 (Alaska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ancora Home Health & HospiceWasilla, AKHome health agency
Mat-su Regional Medical CenterPalmer, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Select Physical Therapy Holdings Inc95370764011992
Mat-su Valley Iii Llc549694150226
Mat Su Valley Medical Center Llc569868647523

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelis R Jorgensen allows following entities to bill medicare on her behalf.
Entity NameMat Su Valley Medical Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912950148
PECOS PAC ID: 5698686475
Enrollment ID: O20040123000583
Entity NameMat-su Valley III LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366752560
PECOS PAC ID: 5496941502
Enrollment ID: O20101130001385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelis R Jorgensen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelis R Jorgensen, ADVANCED NURSE PRACT
209 W Evergreen Ave,
Palmer, AK 99645-6952

Ph: (907) 861-1450
Shelis R Jorgensen, ADVANCED NURSE PRACT
209 W Evergreen Ave Ste A,
Palmer, AK 99645-6952

Ph: (907) 861-1450

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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