MRS. JACKIE LYNN JORGENSEN (NPI# 1316944069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316944069 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE LYNN JORGENSEN |
| Credential | APRN |
| Practice Address |
106 Willow Rd Goodland KS 67735-1518 |
| Practice Telephone | 7858906075 |
| Practice Fax Number | 7858906077 |
| Mailing Telephone | 7858906075 |
| Mailing Fax Number | 7858906077 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0444331 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100419490C | 05 | |
| KS | BCBS | 1316944069 | 01 |
| Street Address |
106 WILLOW RD |
| City | GOODLAND |
| State | KS |
| Zip Code | 67735-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384842 | Jessica Lynn Gittinger | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2020-07-23 |
| 1982087631 | Autumn Jade Spellmeier | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2015-06-30 |
| 1427453141 | Laci Leichliter | Social Worker | 106 Willow Rd, Goodland, KS 67735-1518 | 2014-10-23 |
| 1598170581 | Jonathan Spellmeier | Physician Assistant | 106 Willow Rd, Goodland, KS 67735-1518 | 2014-06-27 |
| 1023361128 | Douglas Paul Simon | Physician Assistant | 106 Willow Rd, Goodland, KS 67735-1518 | 2012-10-26 |
| 1952685471 | Kathy Mae Wiley | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2011-10-03 |
| 1093026429 | Heather Licke | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-30 |
| 1679893788 | Kali Rubenthaler-brunkhardt | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-11 |
| 1467594366 | Goodland Regional Medical Center | Family Medicine | 106 Willow Rd, Goodland, KS 67735 | 2007-02-14 |
| 1154499812 | Goodland Regional Medical Center | Clinic/Center | 106 Willow Rd, Goodland, KS 67735-1518 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614122 | Meier Clinics of Colorado, P.C. | Clinic/Center | 902 W. Old Highway 24, Goodland, KS 67735 | 2020-09-22 |
| 1437691375 | Shelby Ann Heatwole | Specialist/Technologist, Other | 1209 Harrison Ave., Goodland, KS 67735 | 2016-11-09 |
| 1922218650 | Christina Wolf | Psychologist | 723 Main Avenue, Goodland, KS 67735 | 2007-05-23 |
| 1851511182 | Unruh Family Chiropractic Pa | Chiropractor | 1015 Main Street, Goodland, KS 67735 | 2007-04-27 |
| 1326103458 | Tracy A Winchester Hillmer | Social Worker | 723 Main, Goodland, KS 67735 | 2006-12-27 |
| 1720390602 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2010-07-08 |
| 1447392451 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2007-02-13 |
| 1598839045 | Goodland Regional Medical Center | General Acute Care Hospital | 220 W 2nd St, Goodland, KS 67735 | 2006-11-17 |
| 1982788568 | Goodland Home Health,llc | Exclusive Provider Organization | 516 E. Hwy 24, 2223 College, Goodland, KS 67735-0315 | 2006-10-24 |
| 1043391972 | Thomas Hellerud | Nurse Practitioner | 110 W 6th St, Goodland, KS 67735-0729 | 2006-10-18 |
| Find all providers in zip 67735 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166228 | Sondra J Krayca | Nurse Practitioner | 910 Main St, Goodland, KS 67735-2941 | 2005-07-07 |
| 1699384842 | Jessica Lynn Gittinger | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2020-07-23 |
| 1043391972 | Thomas Hellerud | Nurse Practitioner | 110 W 6th St, Goodland, KS 67735-0729 | 2006-10-18 |
| 1255438685 | Pioneer Health LLC | Nurse Practitioner | 910 Main St, Goodland, KS 67735-2941 | 2006-09-20 |
| 1922104504 | Sondra Krayca, A.r.n.p., LLC | Nurse Practitioner | 910 Main St, Goodland, KS 67735-2941 | 2006-09-15 |
| 1366449076 | Janna K Eisenbart | Nurse Practitioner | 910 Main St, Goodland, KS 67735-2941 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1275140261 | Erica Lea Bletscher | Nurse Practitioner | 14th and Oregon Street, Sabetha, KS 66534 | 2020-09-24 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1477162550 | Silverus Ngetich Kimeli | Nurse Practitioner | 22237 W 98th St, Lenexa, KS 66220 | 2020-07-24 |
| 1992323570 | Bryan Edward Lentz | Nurse Practitioner | 1425 N 2nd St, Atchison, KS 66002-1214 | 2020-07-09 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1306468046 | Conner Reid Keyeski | Nurse Practitioner | 1026 Westdale Rd, Lawrence, KS 66049-2637 | 2020-05-16 |
| 1831710169 | Danijela Prodanovic | Nurse Practitioner | 23401 Prairie Star Pkwy Ste B-305, Lenexa, KS 66227-7268 | 2020-04-28 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JACKIE LYNN JORGENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.