Individual provider Active NPI

Rachelle C. Friesen, NP-C

  • Family Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1629622758
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62192 Issued in ID
Practice address
2123 Melody St
Caldwell, ID 83607-5190
Phone
(208) 440-3222
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 62192 ID Primary

Addresses

Primary practice location

2123 Melody St
Caldwell, ID 83607-5190

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other practice location 1

823 Reed St
American Falls, ID 83211
Phone (208) 232-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205002951 ID Practitioner - Nurse Practitioner 5890121032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center Inc 672 clinicians
Community Health Clinics Inc 75 clinicians

Practice addresses (Care Compare)

11035 Karcher Rd
Nampa, ID 83651-8200
Phone (208) 302-2100

3025 W Cherry LN
Meridian, ID 83642-8531

808 Cleveland Blvd
Caldwell, ID 83605-4168
Phone (208) 459-1025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
P. Roman Burk DPM PC Podiatrist CurrentSince Feb 15, 2023 Accepting new patients
Community Health Clinics, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc Podiatrist CurrentSince Apr 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2025 Accepting new patients
Core Medicine Idaho, LLC CurrentSince Nov 6, 2022 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Past Accepting new patients

Locations

300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512

1818 S 10th Ave
Ste 250
Caldwell, ID 83605
Phone (208) 459-0891

4605 Enterprise Way
Ste 103
Caldwell, ID 83605
Phone (208) 855-5955

4605 Enterprise Way
Ste 101
Caldwell, ID 83605
Phone (208) 353-7518

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

2667 E Gala Ct
Ste 130
Meridian, ID 83642
Phone (208) 459-0891

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1629622758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 MELODY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075190",
            "telephone_number": "208-440-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Reed St",
            "address_purpose": "LOCATION",
            "city": "American Falls",
            "state": "ID",
            "postal_code": "83211",
            "country_code": "US",
            "telephone_number": "208-232-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "RACHELLE",
        "middle_name": "C.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "62192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.