Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1144621756

Charlene Clark, FNP is a Nurse Practitioner in Mountain Home, Idaho. Qualified in 2014, 12 years ago. Practices with Apogee Medical Group PC, a 21-clinician group and accepts Medicare assignment. Licensed in Idaho, Tennessee and Washington.

Years since qualifying
12
Licensed in
ID, TN, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone: (208) 587-3988
Fax: (208) 587-3324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61098520 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 73782 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 19070 (TN)

Record details

NPI number1144621756
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 15, 2014
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Apogee Medical Group Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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