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ROCKY MOUNTAIN DERMATOLOGY, P.C.
NPI 1174776009
Clinic/Center - Medical Specialty in Boulder, CO

Active since October 22, 2008CLIA 06D1092467 · Microscopy
2400 SPRUCE ST, STE 101, BOULDER, CO 80302(303) 444-0833(303) 444-0803 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rocky Mountain Dermatology, P.c. NPPES

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

ROCKY MOUNTAIN DERMATOLOGY, P.C. (NPI 1174776009) is a healthcare organization registered as a medical specialty in Boulder, Colorado and active in the NPI registry since October 2008. The organization holds a CLIA Microscopy certificate valid through July 1, 2028 and lists Lisa Hackney Scatena, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1174776009
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameROCKY MOUNTAIN DERMATOLOGY, P.C.
Location Address2400 SPRUCE ST, STE 101Boulder, CO 80302-4617
Mailing Address2400 Spruce St, Ste 101Boulder, CO 80302-4617 · (303) 444-0833 · Fax (303) 444-0803
Phone(303) 444-0833
Fax(303) 444-0803
Organization SubpartNo
Authorized OfficialLisa Hackney ScatenaClinic Director · (303) 444-0833
Enumeration DateOctober 22, 2008
✔ NPI 1174776009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CO · 41453
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2400 SPRUCE ST, Boulder, CO 80302
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rocky Mountain Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rocky Mountain Dermatology, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Scatena, M.D.
Dermatology
NPI 1861529893
2400 SPRUCE ST STE 101
Boulder, CO 80302
(303) 444-0833
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D1092467

Rocky Mountain Dermatology, PC · Boulder, CO
Active · expires Jul 1, 2028
CLIA Number06D1092467
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorDr. Lisa H. Scatena
Laboratory Phone(303) 444-0833
Laboratory LocationRocky Mountain Dermatology, PC2400 Spruce Street Ste 101, Boulder, CO 80302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Rocky Mountain Dermatology, P.C.'s NPI number?

The NPI number for Rocky Mountain Dermatology, P.C. is 1174776009. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is Rocky Mountain Dermatology, P.C. located?

Rocky Mountain Dermatology, P.C. is located at 2400 Spruce St Ste 101, Boulder, CO 80302. The listed phone number is (303) 444-0833.

What is Rocky Mountain Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Rocky Mountain Dermatology, P.C. enrolled in Medicare?

Yes. Rocky Mountain Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rocky Mountain Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rocky Mountain Dermatology, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rocky Mountain Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1092467) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Dermatology, P.C. was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.