Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Ann Jorgenson

Individual provider Registered Nurse · NPI 1689385577

Jacqueline Ann Jorgenson is a Nurse Practitioner in Baldwin, Wisconsin. Qualified in 2022, 4 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1100 Bergslien St
Baldwin, WI 54002-2600
Phone: (715) 684-1553
Fax: (715) 684-1119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13391 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 228561 (WI)

Record details

NPI number1689385577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address1100 Bergslien St, Baldwin, WI 54002-2600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Baldwin