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

Tabatha Jorgensen

Individual provider Physician Assistant · NPI 1477950400

Tabatha Jorgensen is a Physician Assistant in Syracuse, New York. Qualified in 2014, 12 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

736 Irving Ave Ste 340
Syracuse, NY 13210-1687
Phone: (315) 470-7747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 739 Irving Ave, Syracuse, NY 13210-1651 — (315) 701-2550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018386 (NY)

Record details

NPI number1477950400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address1001 W Fayette St, Suite 400, Syracuse, NY 13204-2859

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Syracuse