Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316944069 Individual Practitioner Female Practitioner

Jackie Lynn Jorgensen , APRN

Nurse Practitioner • Goodland, KS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jackie Jorgensen, APRN is a registered healthcare professional specializing in Nurse Practitioner in Goodland, KS. Official NPI practice address is registered at 106 WILLOW RD.

Practice Location & Contact Primary Location

Practice Address

106 Willow Rd

Goodland, KS 677351518

Telephone 7858906075
Fax 7858906077
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Goodland, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Goodland, KS (1395 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 0444331

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100419490C (KS)
Commercial Insurance / Payer ID Bcbs
1316944069 (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Douglas Simon , PA-C

Physician Assistant

NPI 1023361128

Physician Assistant (Certified)

Dr. Travis Daise , MD

Family Medicine

NPI 1184621997

Doctor of Medicine (M.D.)

Judith Mago , PA

Physician Assistant

NPI 1376638569

Physician Assistant

NPI 1427453141

Licensed Master Social Worker

Jonathan Spellmeier , PA-C

Physician Assistant

NPI 1598170581

Physician Assistant (Certified)

NPI 1679893788

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 106 WILLOW RD, GOODLAND, KS 677351518 (Tel: 7858906075)

📍
Updated Business Mailing Address May 03, 2017

Registered at 106 WILLOW RD, GOODLAND, KS 677351518 (Tel: 7858906075)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as JACKIE JORGENSEN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Nurse Practitioner (License #0444331 in KS)

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2013

Registered at 106 WILLOW RD, GOODLAND, KS 677351518 (Tel: 7858906075)

📍
Updated Business Mailing Address August 08, 2013

Registered at 106 WILLOW RD, GOODLAND, KS 677351518 (Tel: 7858906075)

👤
Provider Name / Credentials Updated August 08, 2013

Recorded as JACKIE JORGENSEN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Nurse Practitioner (License #44331 in KS)

🟢
Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316944069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: May 03, 2017
Sole Proprietor: No

Mailing Address

106 Willow Rd

Goodland, KS 677351518

Phone: 7858906075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.