NPI age
18 years
Enumerated 2007-11-13
● Active
Type 1 · Individual
DR. Charlie Ann Collenborne, M.D.
Collenborne is 1 of 7 family medicine providers in Mountain Home Afb and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
KS
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
Mailing address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481000
Specialties
-
Family Medicine PrimaryFamily 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...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1691 Family Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.