MS. BONNIE B CLARK NP
NPI 1154355204
Nurse Practitioner - Family in St George, UT

Q: What is Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1154355204. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Bonnie Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Clark was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2006PECOS Enrolled

1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790(435) 251-1000 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Bonnie B Clark Np NPPES

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

MS. BONNIE B CLARK NP (NPI 1154355204) is an individual family provider in St George, Utah, licensed in Utah (196561-4405) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154355204

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. BONNIE B CLARKCredential: NP

Location Address1380 E MEDICAL CENTER DRSt George, UT 84790-2123

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180 · (435) 251-1000

Phone(435) 251-1000

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1154355204 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 UT · 196561-4405

1380 E MEDICAL CENTER DR, St George, UT 84790

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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)

Ms. Bonnie B Clark Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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