Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kelly Fruth

Individual provider Physician Assistant · NPI 1730701285

MS. Kelly Fruth is a Physician Assistant in Grants Pass, Oregon. Qualified in 2019, 7 years ago. Practices with Asante Physician Partners, a 225-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
7
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

520 SW Ramsey Ave
Grants Pass, OR 97527-5535
Phone: (541) 472-7810
Fax: (541) 472-7811
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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 PA214041 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 57800 (CA)

Record details

NPI number1730701285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address2825 E Barnett Rd, Mss, Medford, OR 97504-8332

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grants Pass