BEAU D CLEMMENSEN PA
NPI 1184480055
Physician Assistant - Medical in La Crosse, WI
About Beau D Clemmensen Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAU D CLEMMENSEN PA (NPI 1184480055) is an individual medical provider in La Crosse, Wisconsin, licensed in Wisconsin (8859-23) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beau D Clemmensen Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Beau Clemmensen's NPI number?
The NPI number for Beau Clemmensen is 1184480055. It was assigned to this individual provider in the NPPES registry on February 27, 2024.
Where is Beau Clemmensen located?
Beau Clemmensen practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Beau Clemmensen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Beau Clemmensen enrolled in Medicare?
Yes. Beau Clemmensen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Beau Clemmensen was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Beau D Clemmensen, PA · NPI 1184480055
Medical physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since February 27, 2024.
## Identity
- **NPI:** 1184480055 (Entity type: Individual)
- **Enumerated:** February 27, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 8859-23 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184480055) · Data from the CMS NPPES public registry.