DR. CHARLIE ANN COLLENBORNE M.D.
NPI 1598945073
Family Medicine in Mountain Home Afb, ID

Q: What is Charlie Collenborne's NPI number?

The NPI number for Charlie Collenborne is 1598945073. It was assigned to this individual provider in the NPPES registry on November 13, 2007. The provider is also known as Dr. Charlene Ann Williams M.D..

Q: What is Charlie Collenborne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 13, 2007PECOS Enrolled

90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7281 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 21, 2024, Oct 3, 2018 (2 updates tracked since 2018).

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About Dr. Charlie Ann Collenborne M.d. NPPES

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

DR. CHARLIE ANN COLLENBORNE M.D. (NPI 1598945073) is an individual family medicine provider in Mountain Home Afb, Idaho, licensed in Kansas (04-32778) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598945073

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLIE ANN COLLENBORNECredential: M.D.

Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062

Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1000 · (208) 828-7281

Phone(208) 828-7281

Sole ProprietorNo

Enumeration DateNovember 13, 2007

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1598945073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 04-32778

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 04-32778 (KS)

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648

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Other Names 1

Former Name (1)Dr. Charlene Ann Williams M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charlie Ann Collenborne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83648 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

SHANNON L WILSON LCSW

Social Worker (Clinical)