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NPI · 1144621756 · NPPES-sourced

Charlene Clark FNP

ActiveFamily Nurse Practitioner
NPI Number
1144621756
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(208) 587-3988
License WA · AP61098520
Last Updated
Enumerated
Primary practice addressID · 83647-1038
120 Desert Sage WayMountain Home, ID 83647-1038
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About this NPIWhat this record shows.

NPI 1144621756 is registered to Charlene Clark FNP, a Family Nurse Practitioner practising at 120 Desert Sage Way in Mountain Home, Idaho. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Charlene Clark FNP has been enumerated in the National Provider Identifier (NPI) registry since 2014.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 19070TN· Issued by APN LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Charlene Clark FNP accepts. To confirm in-network status with your specific health plan, contact Charlene Clark FNP directly at (208) 587-3988.

Frequently asked

Yes. NPI 1144621756 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 587-3988.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Charlene Clark FNP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Family Nurse Practitioner providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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