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

Shelis R Jorgensen, ADVANCEDNURSEPRACT

Individual provider Case Manager/Care Coordinator · NPI 1164481107

Shelis R Jorgensen, ADVANCEDNURSEPRACT is a Nurse Practitioner in Palmer, Alaska. Qualified in 2002, 24 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
24
Licensed in
AK
In the registry since
2006
Specialties on file
2

Practice location Address checks out

209 W Evergreen Ave Ste A
Palmer, AK 99645-6952
Phone: (907) 861-1450
Fax: (907) 861-1460
Show map & directions

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

Additional practice locations (1)

  • 34300 S Talkeetna Spur Rd, Talkeetna, AK 99676-9701 — (907) 733-2273

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NURU798 (AK)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CM3761 (AK)

Record details

NPI number1164481107
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADVANCEDNURSEPRACT
Sole proprietorNo
NPI enumeratedMarch 20, 2006
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Palmer