Jon C. Nordgren, PHD
NPI 1619024049ActiveIndividual· Psychologist· Sioux Falls, SD
Psychologist (PHD) in Sioux Falls, South Dakota, trained at Sanford School of Medicine of University of South Dakota (class of 1991). Medicare paid $16,688 for services to 24 patients in 2024.
Overview
| NPI | 1619024049 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Nov 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 340 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 178 across 4 procedure codes |
| Paid by Medicare | $16,688 |
Education and affiliations
| Medical school | Sanford School of Medicine of University of South Dakota |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Avera McKennanSioux Falls, SD · 959 clinicians
Hospital affiliation
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
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