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

Miss. Nicole Renee Jorgenson, PA-C

Individual provider Physician Assistant · NPI 1972780807

Miss. Nicole Renee Jorgenson, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5133 N Central Ave Ste 206
Phoenix, AZ 85012-1438
Phone: (602) 264-0608
Fax: (602) 234-0417
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3806 (AZ)

Record details

NPI number1972780807
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESMarch 7, 2023
Certification dateMarch 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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