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DR. ATHENA DAWN CLEMENS MD
NPI 1104677004
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 28, 2024PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-3846 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Athena Dawn Clemens Md NPPES

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

DR. ATHENA DAWN CLEMENS MD (NPI 1104677004) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104677004
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ATHENA DAWN CLEMENSCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing Address13123 E 16th AveAurora, CO 80045-7106 · (720) 777-3846
Phone(720) 777-3846
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1104677004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13123 E 16TH AVE, Aurora, CO 80045
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Athena Dawn Clemens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Athena Clemens's NPI number?

The NPI number for Athena Clemens is 1104677004. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Athena Clemens located?

Athena Clemens practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-3846.

What is Athena Clemens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Athena Clemens enrolled in Medicare?

Yes. Athena Clemens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Athena Clemens was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.