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

Katie Jorgensen

Individual provider Family Nurse Practitioner · NPI 1477409548

Katie Jorgensen is a Nurse Practitioner in Peridot, Arizona. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

103 Medicine Way Rd
Peridot, AZ 85542-5000
Phone: (928) 475-1400
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 236215 (AZ)

Record details

NPI number1477409548
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address103 Medicine Way Rd, Peridot, AZ 85542-5000

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peridot