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ALLISON LYNNE BONHAM
NPI 1295529253
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since April 07, 2025PECOS Enrolled
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101(385) 329-7410 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Allison Lynne Bonham NPPES

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

ALLISON LYNNE BONHAM (NPI 1295529253) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (6691900-4405) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295529253
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALLISON LYNNE BONHAM
Location Address50 W BROADWAY STE 333Salt Lake City, UT 84101-2027
Mailing Address50 W Broadway Ste 333Salt Lake City, UT 84101-2027 · (385) 329-7410
Phone(385) 329-7410
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 7, 2025
Last NPPES UpdateJune 20, 20262 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
✔ NPI 1295529253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 6691900-4405
50 W BROADWAY STE 333, Salt Lake City, UT 84101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Lynne Bonham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183139249
PECOS Enrollment IDI20250716003392
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 84101 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.

Other Providers at the Same Location NPPES 5

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

SNOQUALMIE INC
Case Management
50 W BROADWAY STE 333, PMB 14624
SALT LAKE CITY, UT 84101
Salt Lake County (855) 492-5787
HAYLEY FULLER
Behavior Technician
50 W BROADWAY STE 333
SALT LAKE CITY, UT 84101
Salt Lake County (801) 221-9930
CODY LOCKYER LCSW
Social Worker (Clinical)
50 W BROADWAY STE 333
SALT LAKE CITY, UT 84101
Salt Lake County (801) 686-8290
ESTEBAN FARIAS
Behavior Technician
50 W BROADWAY STE 333
SALT LAKE CITY, UT 84101
Salt Lake County (801) 841-2824
DOORDOCS, LLC
Podiatrist
50 W BROADWAY STE 333
SALT LAKE CITY, UT 84101
Salt Lake County (281) 909-7722

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 Allison Bonham's NPI number?

The NPI number for Allison Bonham is 1295529253. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Allison Bonham located?

Allison Bonham practices at 50 W Broadway Ste 333, Salt Lake City, UT 84101. The listed phone number is (385) 329-7410.

What is Allison Bonham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Allison Bonham enrolled in Medicare?

Yes. Allison Bonham is registered in the Medicare PECOS enrollment system.

What insurance does Allison Bonham accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Allison Bonham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allison Bonham was last updated on June 20, 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.