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

Scott Donald Willoughby, FNP-C

Individual provider Family Nurse Practitioner · NPI 1457897852

Scott Donald Willoughby, FNP-C is a Nurse Practitioner in Meridian, Idaho. Qualified in 2016, 10 years ago. Practices with Pioneer Family Medicine PLLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4740 N Penngrove Way Ste 100
Meridian, ID 83646
Phone: (208) 938-3663
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 54825 (ID)

Record details

NPI number1457897852
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pioneer Family Medicine Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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