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

Penny R Buckland

Individual provider Nurse Practitioner · NPI 1194129411

Penny R Buckland is a Nurse Practitioner in Boise, Idaho. Qualified in 2014, 12 years ago. Practices with Ideal Option PLLC, a 91-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2014
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Practice location Address checks out

8050 W Rifleman St
Boise, ID 83704-9004
Phone: (877) 522-1275
Fax: (833) 888-7145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Bever Grade, Lapwai, ID 83540 — (208) 843-2271

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP1459A (ID)

Record details

NPI number1194129411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ideal Option Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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