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ALICIA JORGENSEN FNP-C
NPI 1770262016
Nurse Practitioner - Family in Ammon, ID

Active since July 13, 2023Opted out of Medicare · through Oct 24, 2026
3088 E CHASEWOOD DR, AMMON, ID 83406(208) 240-1318 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 19, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About Alicia Jorgensen Fnp-c NPPES

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

ALICIA JORGENSEN FNP-C (NPI 1770262016) is an individual family provider in Ammon, Idaho, licensed in Idaho (57312) and active in the NPI registry since July 2023. She has opted out of Medicare through October 24, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770262016
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA JORGENSENCredential: FNP-C
Location Address3088 E CHASEWOOD DRAmmon, ID 83406-4852
Mailing Address3088 E Chasewood DrAmmon, ID 83406-4852 · (208) 240-1318
Phone(208) 240-1318
Sole ProprietorYes
Enumeration DateJuly 13, 2023
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1770262016 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 ID · 57312
3088 E CHASEWOOD DR, Ammon, ID 83406
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alicia Jorgensen Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 24, 2024 through October 24, 2026.

Opt-Out Effective DateOctober 24, 2024
Opt-Out In Effect ThroughOctober 24, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Alicia Jorgensen's NPI number?

The NPI number for Alicia Jorgensen is 1770262016. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Alicia Jorgensen located?

Alicia Jorgensen practices at 3088 E Chasewood Dr, Ammon, ID 83406. The listed phone number is (208) 240-1318.

What is Alicia Jorgensen's specialty?

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

Is Alicia Jorgensen enrolled in Medicare?

No. Alicia Jorgensen has opted out of Medicare through October 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alicia Jorgensen accept?

Health plans from Providence Health Plan list Alicia 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 Alicia Jorgensen was last updated on July 19, 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.