Active NPI
Krystle Beth Grothjan, NP
- General Practice Physician
- McCall, ID
National Provider Identifier
1437028834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 57716
- Practice address
- 211 W Forest Street
McCall, ID 83638-9998 - Phone
- (208) 630-2219
- NPI assigned
- Nov 3, 2025
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 57716 | ID | Primary |
Addresses
Primary practice location
211 W Forest Street
McCall, ID 83638-9998
Mailing address
PO Box 1983
McCall, ID 83638-9998
Phone (208) 792-7274
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57716 | ID | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1437028834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1983",
"city": "MCCALL",
"state": "ID",
"postal_code": "836389998",
"telephone_number": "208-792-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W FOREST STREET",
"city": "MCCALL",
"state": "ID",
"postal_code": "836389998",
"telephone_number": "208-630-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTHJAN",
"first_name": "KRYSTLE",
"middle_name": "BETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "57716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.