Individual provider Active NPI

Nickolas Fransen, ACUPUNCTURIST

  • Acupuncturist
  • Eagle, ID
National Provider Identifier
1124911649
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-0372 Issued in ID
Practice address
1151 E Iron Eagle Dr
Eagle, ID 83616-6854
Phone
(760) 473-3072
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-0372 ID Primary

Addresses

Primary practice location

1151 E Iron Eagle Dr
Eagle, ID 83616-6854

Mailing address

5392 W Rosslare Dr
Eagle, ID 83616-6252
Phone (760) 473-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACU-0372IDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lejax Holdings, LLC Acupuncturist CurrentSince Nov 18, 2025 Accepting new patients

Locations

6023 N Eagle Rd
Ste 100
Boise, ID 83713
Phone (208) 481-4800

2985 S Meridian Rd
Ste 100
Meridian, ID 83642
Phone (208) 287-9444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1124911649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5392 W ROSSLARE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166252",
            "telephone_number": "760-473-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E IRON EAGLE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166854",
            "telephone_number": "760-473-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANSEN",
        "first_name": "NICKOLAS",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.