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PIONEER FAMILY MEDICINE PLLC
NPI 1952335929
Family Medicine in Meridian, ID

Active since July 10, 2006CLIA 13D1003406 · Waiver
4740 N. PENNGROVE WAY, STE. 100, MERIDIAN, ID 83646(208) 938-3663(208) 938-3664 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pioneer Family Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIONEER FAMILY MEDICINE PLLC (NPI 1952335929) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Jason Scott Ludwig, Owner, as its authorized official.

NPPES Registry Identity

NPI1952335929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER FAMILY MEDICINE PLLC
Location Address4740 N. PENNGROVE WAY, STE. 100Meridian, ID 83646
Mailing Address4740 N. Penngrove Way, Ste. 100Meridian, ID 83646 · (208) 938-3663 · Fax (208) 938-3664
Phone(208) 938-3663
Fax(208) 938-3664
Organization SubpartNo
Authorized OfficialJason Scott LudwigOwner · (208) 938-3663
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 23, 2019
✔ NPI 1952335929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O-253
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4740 N. PENNGROVE WAY, Meridian, ID 83646
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Other Identifiers 1

Medicaid806456700ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1003406

Pioneer Family Medicine · Meridian, ID
Active · expires Nov 1, 2026
CLIA Number13D1003406
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorJason S. Ludwig
Laboratory Phone(208) 938-3663
Laboratory LocationPioneer Family Medicine4740 N Penngrove Way Ste 100, Meridian, ID 83646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT DONALD WILLOUGHBY FNP-C
Nurse Practitioner (Family)
4740 N. PENNGROVE WAY, STE. 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
DR. AARON DREW MOORHOUSE DO
Family Medicine
4740 N. PENNGROVE WAY, STE. 100
MERIDIAN, ID 83646
Ada County (208) 938-3663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Family Medicine PLLC's NPI number?

The NPI number for Pioneer Family Medicine PLLC is 1952335929. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Pioneer Family Medicine PLLC located?

Pioneer Family Medicine PLLC is located at 4740 N. Penngrove Way Ste. 100, Meridian, ID 83646. The listed phone number is (208) 938-3663.

What is Pioneer Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pioneer Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1003406) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pioneer Family Medicine PLLC accept?

Health plans from Moda Health Plan, Inc. list Pioneer Family Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pioneer Family Medicine PLLC was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.