BRYCE JORGENSEN DO
NPI 1629562921
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Active since June 20, 2018PECOS Enrolled
2450 RIVERSIDE AVE RM AO-401, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 11, 2024, Jun 20, 2021, Jun 20, 2018 (3 updates tracked since 2018).

About Bryce Jorgensen Do NPPES

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

BRYCE JORGENSEN DO (NPI 1629562921) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (76539) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629562921
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameBRYCE JORGENSENCredential: DO
Location Address2450 RIVERSIDE AVE RM AO-401Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave Rm Ao-401Minneapolis, MN 55454-1450 · (612) 626-0644
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1629562921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MN · 76539
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 5101024202 (MI)
2450 RIVERSIDE AVE RM AO-401, Minneapolis, MN 55454

Secondary Practice Locations 2

Location 16621 Fannin St Ste W6104Houston, TX 77030-2370 · Phone (832) 826-1309 · Fax (832) 825-1386
Location 25303 S Cedar St Ste 205Lansing, MI 48911-3800 · Phone (517) 887-4305

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)

Bryce Jorgensen Do 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 Reassignments

9

Medicare enrollment records show Bryce Jorgensen reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
Clinic/Center
606 24TH AVE S, STE 602
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 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 Bryce Jorgensen's NPI number?

The NPI number for Bryce Jorgensen is 1629562921. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Bryce Jorgensen located?

Bryce Jorgensen practices at 2450 Riverside Ave Rm Ao-401, Minneapolis, MN 55454. The listed phone number is (612) 626-0644.

What is Bryce Jorgensen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Bryce Jorgensen enrolled in Medicare?

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

Which organizations bill Medicare for Bryce Jorgensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryce Jorgensen reassigns Medicare benefits to 9 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. Each 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 Bryce Jorgensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryce Jorgensen accept?

Health plans from Medica list Bryce 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 Bryce Jorgensen was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.