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SCOTT JEFFREY CLEMONS NP-C
NPI 1053823047
Nurse Practitioner - Family in Lakewood, WA

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 984-2000(253) 984-2049 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2023, Dec 2, 2020, Oct 30, 2017 (3 updates tracked since 2017).

About Scott Jeffrey Clemons Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT JEFFREY CLEMONS NP-C (NPI 1053823047) is an individual family provider in Lakewood, Washington, licensed in Washington (AP60799444) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053823047
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSCOTT JEFFREY CLEMONSCredential: NP-C
Location Address9537 GRAVELLY LAKE DR SWLakewood, WA 98499-1513
Mailing Address9537 Gravelly Lake Dr SwLakewood, WA 98499-1513 · (253) 984-2000 · Fax (253) 984-2049
Phone(253) 984-2000
Fax(253) 984-2049
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1053823047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60799444
9537 GRAVELLY LAKE DR SW, Lakewood, WA 98499
Open in Google Maps ↗

Other Identifiers 1

Medicaid2090261WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Jeffrey Clemons Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739445107
PECOS Enrollment IDI20171117002521
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCAN MEDICAL GROUP
Internal Medicine (Critical Care Medicine)
9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 984-2000
MINH-TRIET DINH VO D.O.
Family Medicine
9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 984-2000
JESSY EDGARDO ANG JR. M.D.
Family Medicine
9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 984-2000
VICTOR MANUEL HERNANDES PINEDA
Physician Assistant (Medical)
9537 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 984-2000
NANCY WAIRIMU MINJIRE ARNP
Nurse Practitioner (Family)
9537 GRAVELLY LAKE DR SW
TACOMA, WA 98499
Pierce County (253) 984-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Clemons's NPI number?

The NPI number for Scott Clemons is 1053823047. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Scott Clemons located?

Scott Clemons practices at 9537 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 984-2000.

What is Scott Clemons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Clemons enrolled in Medicare?

Yes. Scott Clemons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Clemons accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Scott Clemons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Clemons affiliated with any hospitals?

According to CMS data, Scott Clemons is affiliated with St Clare Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Clemons was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.