MELINDA L JORGENSEN PHD
NPI 1053556258
Psychologist in Idaho Falls, ID

Active since December 03, 2008PECOS Enrolled
3417 MERLIN DR, STE 102, IDAHO FALLS, ID 83404(208) 552-0850(208) 529-5011 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melinda L Jorgensen Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELINDA L JORGENSEN PHD (NPI 1053556258) is an individual psychologist in Idaho Falls, Idaho and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053556258
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMELINDA L JORGENSENCredential: PHD
Location Address3417 MERLIN DR, STE 102Idaho Falls, ID 83404-7430
Mailing AddressPo Box 4285Pocatello, ID 83205-4285 · (208) 236-1600 · Fax (208) 236-6695
Fax(208) 529-5011
Sole ProprietorNo
Enumeration DateDecember 3, 2008
Last NPPES UpdateDecember 15, 2010
✔ NPI 1053556258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3417 MERLIN DR, Idaho Falls, ID 83404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda L Jorgensen Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melinda Jorgensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda Jorgensen's NPI number?

The NPI number for Melinda Jorgensen is 1053556258. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Where is Melinda Jorgensen located?

Melinda Jorgensen practices at 3417 Merlin Dr Ste 102, Idaho Falls, ID 83404. The listed phone number is (208) 552-0850.

What is Melinda Jorgensen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Melinda Jorgensen enrolled in Medicare?

Yes. Melinda Jorgensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melinda Jorgensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Jorgensen reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melinda Jorgensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Jorgensen accept?

Health plans from Moda Health Plan, Inc. list Melinda Jorgensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melinda Jorgensen was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.