Individual provider Active NPI

Christopher Michael Kolobow, NP-C

  • Family Nurse Practitioner
  • Bonners Ferry, ID
National Provider Identifier
1700277688
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1543A Issued in ID
Practice address
6737B Cody St
Bonners Ferry, ID 83805-8504
Phone
(208) 267-2225
Fax
(208) 267-9303
NPI assigned
Feb 12, 2015
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1543A ID Primary
Registered Nurse 163W00000X N-44230 ID

Addresses

Primary practice location

6737B Cody St
Bonners Ferry, ID 83805-8504

Mailing address

6737B Cody St Unit B
Bonners Ferry, ID 83805-8504
Phone (208) 267-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000634 ID Practitioner - Nurse Practitioner 0941529895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Tribe of IdahoGroup PAC ID 7315184926, 2 clinicians

Practice addresses (Care Compare)

1227 Mission Rd
Bonners Ferry, ID 83805-1279
Phone (208) 267-5223

6737 B Cody St
Bonners Ferry, ID 83805-8504
Phone (208) 267-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N-44230IDMDRegistered Nurse
NP-1543AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Tribe of Idaho Single Specialty CurrentSince Dec 6, 2022 Accepting new patients
Christopher Kolobow, NP-C LLC Single Specialty CurrentSince Apr 14, 2020 Accepting new patients
Schurmann Chiropractic & Wellness Center, LLC Single Specialty PastSince Apr 14, 2020 Accepting new patients

Locations

6737B Cody St
Bonners Ferry, ID 83805
Phone (208) 267-2225

6737B Cody St
Unit B
Bonners Ferry, ID 83805

Interoperability endpoints

  • Direct secure messaging: christopher.kolobow.1@21600.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21600/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1700277688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737B CODY ST UNIT B",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058504",
            "telephone_number": "208-267-2225",
            "fax_number": "208-267-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737B CODY ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058504",
            "telephone_number": "208-267-2225",
            "fax_number": "208-267-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOBOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1543A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-44230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.