Scott M. Jensen M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

28925 Issued in AZ

Legal business name

SCOTT M. JENSEN M.D. INC.

Doing business as

Jensen Family Medicine

Practice address

792 Co Rd 3144
Vernon, AZ 85940

Phone

(928) 224-4270

Fax

(928) 212-9017

NPI assigned

Jan 30, 2007

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Milton Jensen, M.D.NPI 1033106497

Title

Physician

Phone

(480) 381-2660

Specialties & licenses 1

Addresses

Other names 1

• Jensen Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Milton Jensen, M.D.

  • Family Medicine Physician
  • Lakeside, AZ
  • NPI 1033106497
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1851437412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 CO RD 3144",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018834",
            "telephone_number": "928-224-4270",
            "fax_number": "928-212-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 CO RD 3144",
            "city": "VERNON",
            "state": "AZ",
            "postal_code": "85940",
            "telephone_number": "928-224-4270",
            "fax_number": "928-212-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M. JENSEN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-381-2660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "28925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jensen Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jensen Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bannon Springs Ranch Christain Health Care
• Bannon Springs Ranch Christain Health Care
• Beacon Charities (Beacon Treatment Center)
• Pierce Herbert Goodman, D.D.S.
• Julie Ann Nicholson, LPC
• Vernon Elementary School District
• Vernon Elementary School District
• Waypoint Recovery

• Primary Care Clinic/Center in Vernon, AZ
• Providers in Vernon, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.