Individual provider Active NPI

Clarke Lunt

  • Physician Assistant
  • Bountiful, UT
National Provider Identifier
1902265317
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1973 S Davis Blvd
Bountiful, UT 84010-5305
Phone
(801) 295-1365
NPI assigned
Feb 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2499 ID
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1973 S Davis Blvd
Bountiful, UT 84010-5305

Mailing address

1973 S Davis Blvd
Bountiful, UT 84010-5305
Phone (801) 295-1365

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161102002865 NV Practitioner - Physician Assistant 7113205626 Reassigns benefits to 2 organizations
I20230622001185 ID Practitioner - Physician Assistant 7113205626 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians

Practice addresses (Care Compare)

16818 N Marketplace Blvd
Nampa, ID 83687-5140
Phone (208) 321-4000

3015 E Magic View Dr
Meridian, ID 83642-3743
Phone (208) 321-4000

4842 N Cortona Way
Suite 110
Meridian, ID 83646-3171
Phone (208) 321-4000

7979 W Rifleman St
Suite 110
Boise, ID 83704-9066
Phone (208) 321-4000

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2499IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Jun 6, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Direct Orthopedic Care LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Clark Schillinger Emergency Group, PC Emergency Medicine CurrentSince Jul 16, 2018 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1789 S Broadway Ave
Ste 100
Boise, ID 83706
Phone (208) 287-0203

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

16818 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 321-4000

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

4980 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 216-7365

9860 W Skye Cyn Dr
Las Vegas, NV 89166

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1902265317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 S DAVIS BLVD",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105305",
            "telephone_number": "801-295-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 S DAVIS BLVD",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105305",
            "telephone_number": "801-295-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNT",
        "first_name": "CLARKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2499",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.