1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Physician Assistant
  6. NPI Profile

LACEY JORGENSEN
NPI 1851272033
Physician Assistant in Philadelphia, PA

Active since September 11, 2025PECOS Enrolled
11 S LETITIA ST APT 303, PHILADELPHIA, PA 19106(848) 210-6568 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacey Jorgensen NPPES

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

LACEY JORGENSEN (NPI 1851272033) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA067192) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851272033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLACEY JORGENSEN
Location Address11 S LETITIA ST APT 303Philadelphia, PA 19106-3010
Mailing Address11 S Letitia St Apt 303Philadelphia, PA 19106-3010 · (848) 210-6568
Phone(848) 210-6568
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 11, 2025
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1851272033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA067192
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11 S LETITIA ST APT 303, Philadelphia, PA 19106
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Jorgensen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850856816
PECOS Enrollment IDI20260720004218
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 Reassignment

Medicare enrollment records show Lacey Jorgensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC
1.2 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1437793833 (610) 743-6049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Lacey Jorgensen's NPI number?

The NPI number for Lacey Jorgensen is 1851272033. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Lacey Jorgensen located?

Lacey Jorgensen practices at 11 S Letitia St Apt 303, Philadelphia, PA 19106. The listed phone number is (848) 210-6568.

What is Lacey Jorgensen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lacey Jorgensen enrolled in Medicare?

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

Which organization bills Medicare for Lacey Jorgensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Jorgensen reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). The 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 Lacey Jorgensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacey Jorgensen was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.