DR. MATTHEW S JORGENSEN DO
NPI 1063117794
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Q: What is Matthew Jorgensen's NPI number?

The NPI number for Matthew Jorgensen is 1063117794. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Matthew Jorgensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Jorgensen was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2023PECOS Enrolled

1707 N MAIN ST, GAINESVILLE, FL 32609(352) 265-1234(352) 265-9584 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Matthew S Jorgensen Do NPPES

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

DR. MATTHEW S JORGENSEN DO (NPI 1063117794) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063117794

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MATTHEW S JORGENSENCredential: DO

Location Address1707 N MAIN STGainesville, FL 32609-3650

Mailing AddressPo Box 100237Gainesville, FL 32610-3650 · (352) 265-1234 · Fax (352) 265-9584

Phone(352) 265-1234

Fax(352) 265-9584

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1063117794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1707 N MAIN ST, Gainesville, FL 32609

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew S Jorgensen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951878925

PECOS Enrollment IDI20260427003487

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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