Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Frannie Ann Proffitt, PA-C

Individual provider Physician Assistant · NPI 1356694384

Frannie Ann Proffitt, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2012, 14 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
14
Licensed in
ID, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1907 S Broadway Ave Ste 101
Boise, ID 83706-4229
Phone: (208) 345-1222
Fax: (208) 955-0494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1213 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA159954 (OR)

Record details

NPI number1356694384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESAugust 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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