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

John Dustin Pena, FNP

Individual provider Family Nurse Practitioner · NPI 1730787482

John Dustin Pena, FNP is a Nurse Practitioner in Salmon, Idaho. Qualified in 2020, 6 years ago. Practices with Salmon River Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

403 Riverfront Dr
Salmon, ID 83467-5162
Phone: (208) 742-1110
Fax: (208) 742-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 65855 (ID)

Record details

NPI number1730787482
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Salmon River Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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