THOMAS WILLIAM JORGENSEN
NPI 1093220089
Nurse Anesthetist, Certified Registered in Ashland, WI

Active since December 12, 2017Accepts Medicare Assignment
89.68/100
CMS Quality Rating
1615 MAPLE LN, ASHLAND, WI 54806(715) 685-5500 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2019, Jun 27, 2018, Dec 12, 2017 (3 updates tracked since 2017).

About Thomas William Jorgensen NPPES

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

THOMAS WILLIAM JORGENSEN (NPI 1093220089) is an individual nurse anesthetist, certified registered in Ashland, Wisconsin, licensed in Wisconsin (9210-33) and active in the NPI registry since December 2017. He is affiliated with Tamarack Health Ashland Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093220089
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS WILLIAM JORGENSEN
Location Address1615 MAPLE LNAshland, WI 54806-3626
Mailing Address1615 Maple LnAshland, WI 54806-3689 · (715) 685-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 12, 2017
Last NPPES UpdateSeptember 10, 20193 updates tracked since enumeration
NPI 1093220089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in WI · 9210-33 Licensed in MN · 2182
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1615 MAPLE LN, Ashland, WI 54806

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas William Jorgensen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426319138
PECOS Enrollment IDI20191112000075

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Internal Medicine (Gastroenterology)
1615 MAPLE LN
ASHLAND, WI 54806
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Pathology (Anatomic Pathology & Clinical Pathology)
1615 MAPLE LN
ASHLAND, WI 54806
Internal Medicine (Addiction Medicine)
1615 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1615 MAPLE LN
ASHLAND, WI 54806
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Family Medicine
1615 MAPLE LN
ASHLAND, WI 54806

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 Thomas Jorgensen's NPI number?

The NPI number for Thomas Jorgensen is 1093220089. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Thomas Jorgensen located?

Thomas Jorgensen practices at 1615 Maple Ln, Ashland, WI 54806. The listed phone number is (715) 685-5500.

What is Thomas Jorgensen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Thomas Jorgensen enrolled in Medicare?

Yes. Thomas Jorgensen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Jorgensen accept?

Health plans from Medica list Thomas 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.

Is Thomas Jorgensen affiliated with any hospitals?

According to CMS data, Thomas Jorgensen is affiliated with Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Jorgensen was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.