KATIE JORGENSEN
NPI 1477409548
Nurse Practitioner - Family in Peridot, AZ

Q: What is Katie Jorgensen's NPI number?

The NPI number for Katie Jorgensen is 1477409548. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Q: What is Katie Jorgensen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Jorgensen was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 10, 2026PECOS EnrolledAccepts Medicare Assignment

103 MEDICINE WAY RD, PERIDOT, AZ 85542(928) 475-1400 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 24, 2026, Mar 10, 2026 (2 updates tracked since 2026).

On this page

About Katie Jorgensen NPPES

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

KATIE JORGENSEN (NPI 1477409548) is an individual family provider in Peridot, Arizona, licensed in Arizona (236215) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1477409548

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE JORGENSEN

Location Address103 MEDICINE WAY RDPeridot, AZ 85542-5000

Mailing Address103 Medicine Way RdPeridot, AZ 85542-5000 · (928) 475-1400

Phone(928) 475-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMarch 10, 2026

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1477409548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 236215

103 MEDICINE WAY RD, Peridot, AZ 85542

Open in Google Maps ↗

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

Katie 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 ID7315419835

PECOS Enrollment IDI20260616002818

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85542 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA HUBER

Dietitian, Registered