Active NPI
Devn A Frandsen, DO
- Family Medicine Physician
- Grangeville, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-0842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730316043 | Medicaid | ID | |
| 1730316043 | Medicaid | WI | |
| 1730316043 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, WI, ID, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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 F
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
| License | State | Type | Specialty |
|---|---|---|---|
| O-0842 | ID | MD | Family Medicine Physician |
| 036 131300 | IL | MD | Family Medicine Physician |
| OS017304 | PA | MD | Family Medicine Physician |
| 66769 | WI | MD | Family Medicine Physician |
| 036-111207 | IL | MD | Internal Medicine Physician |
| 100581 | MT | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Community Care West Side LLC | Family Medicine | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| CC Pocatello LLC | Family Medicine | Current | Accepting new patients |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Syringa General Hospital District C I F | Current | Accepting new patients | |
| Syringa General Hospital District C I F | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Family Medicine | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | 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.
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1538517156
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
-
- Critical Access Hospital
- Grangeville, ID
- NPI 1750336608
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
-
- Medicare Defined Swing Bed Hospital Unit
- Salmon, ID
- NPI 1992913479
-
- Primary Care Clinic/Center
- Grangeville, ID
- NPI 1073802492
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.