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

Dr. Scott E Clemensen, MD

Individual provider Family Medicine Physician · NPI 1104932888

Dr. Scott E Clemensen, MD is a Family Practice in Boulder, Colorado. Graduated from Albany Medical College of Union University in 2001, 25 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
25
Trained at
Albany Medical College of Union University
Licensed in
CO, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 47105 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 228550 (NY)

Record details

NPI number1104932888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address10350 E Dakota Ave, Denver, CO 80247-1314

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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