Charlene Clark, FNP - Medicare in Mountain Home, ID

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Charlene Clark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mountain Home, Idaho. Her current practice location is 120 Desert Sage Way, Mountain Home, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 587-3988.

Charlene Clark is licensed to practice in Washington (license number AP61098520) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144621756.

Contact Information

Charlene Clark, FNP
120 Desert Sage Way,
Mountain Home, ID 83647-1038
(208) 587-3988
(208) 587-3324

Map and Direction




Provider's Profile

Full NameCharlene Clark
GenderFemale
Speciality
Experience Years
Location120 Desert Sage Way, Mountain Home, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlene Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1144621756
  • Provider Enumeration Date: 09/15/2014
  • Last Update Date: 01/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Charlene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144621756NPI-NPPES
19070OtherTNAPN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 73782 (Idaho)Secondary
363LF0000XNurse Practitioner - Family 19070 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family AP61098520 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Clark, FNP
1205 Teton Ave,
Caldwell, ID 83605-2553

Ph: (901) 500-5766		Charlene Clark, FNP
120 Desert Sage Way,
Mountain Home, ID 83647-1038

Ph: (208) 587-3988

Reviews and Comments


Nurse Practitioner Nurses in Mountain Home, ID

Dawn D Best, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647
Phone: 208-587-3988    Fax: 208-587-3324
Vernon T Mullins, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 840 N 4th E, Mountain Home, ID 83647
Phone: 208-587-1850    
Robin Amber Nettleton, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 840 N 4th E, Mountain Home, ID 83647
Phone: 208-587-1850    Fax: 208-587-1851
Genevieve Marie Leetham, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647
Phone: 208-587-3988    Fax: 208-587-3324
Linda G Shaw, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 805 N 6th E, Mountain Home, ID 83647
Phone: 208-587-5880    Fax: 208-587-7905

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.