Individual provider Active NPI

Travis Frogley, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1518508928
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62675 Issued in ID
Practice address
5975 W Overland Rd
Boise, ID 83709-3012
Phone
(208) 488-4998
Fax
(208) 545-3214
NPI assigned
Oct 7, 2019
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 62675 ID Primary

Addresses

Primary practice location

5975 W Overland Rd
Boise, ID 83709-3012

Mailing address

5975 W Overland Rd
Boise, ID 83709-3012

Other practice location 1

11118 Moss Ln
Nampa, ID 83651-8015
Phone (208) 563-5910

Other practice location 2

2375 E Sunnyside Rd Ste F
Idaho Falls, ID 83404-8281
Phone (208) 217-9099

Other practice location 3

1411 Falls Ave E Ste 1151A
Twin Falls, ID 83301-3455
Phone (208) 543-7995

Other practice location 4

916 W Ironwood Dr Ste Ul1
Coeur D Alene, ID 83814-2642
Phone (208) 557-5380

Other practice location 5

1750 W McMillan Rd Ste 120
Meridian, ID 83646-6891
Phone (208) 900-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Wound Consultants LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1555 W Shoreline Dr
Ste 100
Boise, ID 83702
Phone (206) 953-3708

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1518508928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093012",
            "telephone_number": "208-488-4998",
            "fax_number": "208-545-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11118 Moss Ln",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836518015",
            "country_code": "US",
            "telephone_number": "208-563-5910",
            "fax_number": "208-498-2631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 E Sunnyside Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834048281",
            "country_code": "US",
            "telephone_number": "208-217-9099",
            "fax_number": "208-619-3752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Falls Ave E Ste 1151A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013455",
            "country_code": "US",
            "telephone_number": "208-543-7995",
            "fax_number": "208-487-7679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 W Ironwood Dr Ste Ul1",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142642",
            "country_code": "US",
            "telephone_number": "208-557-5380",
            "fax_number": "208-902-9821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 W McMillan Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836466891",
            "country_code": "US",
            "telephone_number": "208-900-4480",
            "fax_number": "208-493-3409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROGLEY",
        "first_name": "TRAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "62675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.