Individual provider Active NPI

Devn A Frandsen, DO

  • Family Medicine Physician
  • Grangeville, ID
National Provider Identifier
1730316043
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0842 Issued in ID
Practice address
722 W North St
Grangeville, ID 83530-1350
Phone
(208) 983-8590
Fax
(208) 983-8580
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66769-21 WI
Family Medicine Physician 207Q00000X OS017304 PA
Family Medicine Physician 207Q00000X 036 131300 IL
Family Medicine Physician 207Q00000X E-7208 AR
Family Medicine Physician 207Q00000X 66769 WI
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 100581 MT
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X O-0842 ID
Family Medicine Physician 207Q00000X O-0842 ID Primary
Family Medicine Physician 207Q00000X 100581 MT

Addresses

Primary practice location

722 W North St
Grangeville, ID 83530-1350

Mailing address

250 Arden Dr
Idaho Falls, ID 83404-7904
Phone (435) 770-2888

Other practice location 1

3375 Merlin Dr
Idaho Falls, ID 83404-7405
Phone (870) 505-1122

Other practice location 2

250 Arden Dr
Idaho Falls, ID 83404-7904
Phone (435) 770-2888

Other identifiers 3

IdentifierTypeStateIssuer
1730316043MedicaidID
1730316043MedicaidWI
1730316043MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WI, ID, MT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20161219001343 AR Practitioner - Family PracticePractitioner - Other (Physician) 9032344064 Reassigns benefits to 1 organization
I20170309001488 WI Practitioner - Family PracticePractitioner - Other (Physician) 9032344064 Reassigns benefits to 1 organization
I20180504001917 ID Practitioner - Family PracticePractitioner - Other (Physician) 9032344064 Reassigns benefits to 6 organizations
I20211012002435 MT Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 9032344064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syringa General Hospital District C I FGroup PAC ID 6800707530, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

607 W Main St
Grangeville, ID 83530-1345
Phone (208) 983-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-0842IDMDFamily Medicine Physician
036 131300ILMDFamily Medicine Physician
OS017304PAMDFamily Medicine Physician
66769WIMDFamily Medicine Physician
036-111207ILMDInternal Medicine Physician
100581MTMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Memorial Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Community Care West Side LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Aug 15, 2021 Accepting new patients
CC Pocatello LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Community Care Pocatello PLLC Current Accepting new patients
Mountain View Hospital LLC CurrentSince Sep 1, 2022 Accepting new patients
Syringa General Hospital District C I F CurrentSince Jan 6, 2025 Accepting new patients
Syringa General Hospital District C I F CurrentSince Jan 6, 2025 Accepting new patients
Steele Memorial Medical Center CurrentSince Mar 1, 2021 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Jun 12, 2017 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 31, 2016 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 31, 2016 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

722 W North St
Grangeville, ID 83530
Phone (208) 983-8504

607 W Main St
Grangeville, ID 83530
Phone (208) 983-1700

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1730316043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ARDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047904",
            "telephone_number": "435-770-2888",
            "fax_number": "845-698-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W NORTH ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835301350",
            "telephone_number": "208-983-8590",
            "fax_number": "208-983-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Merlin Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047405",
            "country_code": "US",
            "telephone_number": "870-505-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Arden Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047904",
            "country_code": "US",
            "telephone_number": "435-770-2888",
            "fax_number": "208-437-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANDSEN",
        "first_name": "DEVN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "66769-21",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036 131300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "66769",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MT",
            "license": "100581",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "O-0842",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0842",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "100581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730316043",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730316043",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730316043",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grangeville, ID

Sources for this page

Verify at the official NPI Registry.