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

Jeffrey R Pennings, DO

Individual provider Family Medicine Physician · NPI 1740715515

Jeffrey R Pennings, DO is a Family Practice in Nampa, Idaho. Graduated from Campbell Univ School of Osteopathic Medicine in 2017, 9 years ago. Practices with Full Circle Health Inc, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
ID
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 514-2529
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1212 (ID)

Record details

NPI number1740715515
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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