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BONAVISTA FAMILY MEDICINE PLLC
NPI 1821879594
Physician Assistant in Clearfield, UT

Active since October 10, 2023CLIA 46D2291613 · Waiver
778 E 700 S, CLEARFIELD, UT 84015(385) 370-6716 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Oct 10, 2023 (2 updates tracked since 2023).

About Bonavista Family Medicine Pllc NPPES

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

BONAVISTA FAMILY MEDICINE PLLC (NPI 1821879594) is a healthcare organization registered as a physician assistant in Clearfield, Utah and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Lisa Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1821879594
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBONAVISTA FAMILY MEDICINE PLLC
Location Address778 E 700 SClearfield, UT 84015-1204
Mailing Address778 E 700 SClearfield, UT 84015-1204 · (385) 370-6716 · Fax (866) 493-3228
Phone(385) 370-6716
Organization SubpartNo
Authorized OfficialLisa StephensOwner · (801) 814-6263
Enumeration DateOctober 10, 2023
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1821879594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
778 E 700 S, Clearfield, UT 84015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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 of Waiver 46D2291613

Bonavista Family Medicine · Clearfield, UT
Active · expires Oct 11, 2027
CLIA Number46D2291613
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorLisa A. Stephens
Laboratory Phone(385) 370-6716
Laboratory LocationBonavista Family Medicine778 E 700 S, Clearfield, UT 84015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LISA A STEPHENS PA-C
Physician Assistant
778 E 700 S
CLEARFIELD, UT 84015
Davis County (385) 370-6716

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 Bonavista Family Medicine PLLC's NPI number?

The NPI number for Bonavista Family Medicine PLLC is 1821879594. It was assigned to this organization in the NPPES registry on October 10, 2023.

Where is Bonavista Family Medicine PLLC located?

Bonavista Family Medicine PLLC is located at 778 E 700 S, Clearfield, UT 84015. The listed phone number is (385) 370-6716.

What is Bonavista Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Bonavista Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2291613) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bonavista Family Medicine PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Bonavista Family Medicine PLLC 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 Bonavista Family Medicine PLLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.