NPI age
20 years
Enumerated 2005-09-30
● Active
Type 1 · Individual
Charlotte S Ainge, PAC
Ainge is 1 of 3 physician assistant providers in Potlatch and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
156 N. 6th St
Potlatch, ID 83855
Mailing address
700 S Main St
Moscow, ID 838433046
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
213 N Main
Moscow, ID 83843
Location 3
213 N Main
Moscow, ID 83843
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149468 | REGENCE BS OF ID |
| 01 (WA) | 0195084 | DEPT OF LABOR & INDUSTRY |
| 05 (WA) | 8325052 | |
| 01 (ID) | PAUS3 | BLUE CROSS OF ID |
| 05 (ID) | 806474000 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- 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.
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