SHELIS R JORGENSEN (ADVANCED NURSE PRACT) – Family Nurse Practitioner, NPI 1164481107
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for SHELIS R JORGENSEN (ADVANCED NURSE PRACT)
HC 89 BOX 8190
TALKEETNA, AK 996769701
Phone: (907) 733-2273
Fax: (907) 733-1735
Type: Mailing
34300 S Talkeetna Spur Rd
Talkeetna, AK 996769701
Phone: (907) 733-2273
Fax: (907) 733-1735
Type: Location
209 W EVERGREEN AVE
PALMER, AK 996456952
Phone: (907) 861-1450
Fax: (907) 861-1460
Type: Mailing
209 W EVERGREEN AVE STE A
PALMER, AK 996456952
Phone: (907) 861-1450
Fax: (907) 861-1460
Type: Location
Talkeetna Spur Road, Talkeetna, Matanuska-Susitna Borough, Alaska, 99676, United States
TALKEETNA, AK 996769701
Phone: (907) 733-2273
Fax: (907) 733-1735
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $763.
Total Amount is formed as General ($763) + Research ($0) + Ownership ($0) = $763.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Organogenesis Inc. ($367).
Total Amount
$763
General + Research + Ownership
Payments
43
Total payment records
General Amount
$763
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $367 |
| Smith+Nephew, Inc. | $294 |
| ABBVIE INC. | $36 |
| Exact Sciences Corporation | $20 |
| Hydrofera LLC | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040728000239 | I | Nurse Practitioner | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 223 | 96 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 190 | 50 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 163 | 13 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 49 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 99676)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| - | AK | |
| - | NY | |
| Physician Assistant | AK | |
| Family Practice | WA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AK | |
| Internal Medicine | TN |
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