| Shelis R Jorgensen, ADVANCED NURSE PRACT | |
|
209 W Evergreen Ave Ste A, Palmer, AK 99645-6952 | |
| (907) 861-1450 | |
| (907) 861-1460 |
| Full Name | Shelis R Jorgensen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 209 W Evergreen Ave Ste A, Palmer, Alaska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164481107 | NPI | - | NPPES |
| 1022309 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NURU798 (Alaska) | Primary |
| 171M00000X | Case Manager/care Coordinator | CM3761 (Alaska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ancora Home Health & Hospice | Wasilla, AK | Home health agency |
| Mat-su Regional Medical Center | Palmer, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Physical Therapy Holdings Inc | 9537076401 | 1992 |
| Mat-su Valley Iii Llc | 5496941502 | 26 |
| Mat Su Valley Medical Center Llc | 5698686475 | 23 |
| Entity Name | Mat Su Valley Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912950148 PECOS PAC ID: 5698686475 Enrollment ID: O20040123000583 |
| Entity Name | Mat-su Valley III LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366752560 PECOS PAC ID: 5496941502 Enrollment ID: O20101130001385 |
| Mailing Address | Practice 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 |
Katie M Montano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |
Vaughn William Kelly, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |
Mrs. Jennifer Gail Vinette, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |
Scott Hancey, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |
Dr. Stephanie Anne Olah Packard, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1734 Prospect Dr, Palmer, AK 99645 Phone: 907-745-3380 Fax: 907-746-7471 |
Amanda Lynne Alexander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |
Aubrey Spangler, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Cobb St Ste 201, Palmer, AK 99645 Phone: 907-745-9355 |