Kimberly Jo Crandall, FNP-BC in Palmer, AK - Medicare Nurse Practitioner

Kimberly Jo Crandall, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Palmer, Alaska. Her current practice location is 1901 N Hemmer Rd Ste 211, Palmer, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 203-4677.

Kimberly Jo Crandall is licensed to practice in Alaska (license number 198965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275277238.

Contact Information

	Kimberly Jo Crandall, FNP-BC
	1901 N Hemmer Rd Ste 211, Palmer, AK 99645-9690
	(907) 203-4677
	(907) 745-3780

Map and Direction

Provider's Profile

Full Name	Kimberly Jo Crandall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1901 N Hemmer Rd Ste 211, Palmer, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275277238
Provider Enumeration Date: 04/26/2022
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6305201450
Enrollment ID: I20230425002746

Medical Identifiers

Medical identifiers for Kimberly Jo Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275277238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	NURR26951 (Alaska)	Secondary
363LF0000X	Nurse Practitioner - Family	198965 (Alaska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Jo Crandall allows following entities to bill medicare on her behalf.

Entity Name	Lakeview Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356068480 PECOS PAC ID: 5496110546 Enrollment ID: O20230425002659

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo Crandall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Jo Crandall, FNP-BC 1901 N Hemmer Rd Ste 211, Palmer, AK 99645-9690 Ph: (907) 203-4677	Kimberly Jo Crandall, FNP-BC 1901 N Hemmer Rd Ste 211, Palmer, AK 99645-9690 Ph: (907) 203-4677

Reviews and Comments

Nurse Practitioner Nurses in Palmer, AK

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Dr. Stephanie Anne Olah Packard, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1734 Prospect Dr, Palmer, AK 99645 Phone: 907-745-3380 Fax: 907-746-7471
Amanda Lynne Alexander, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000
Aubrey Spangler, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Cobb St Ste 201, Palmer, AK 99645 Phone: 907-745-9355
Kelsey Taylor Lynn, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8240 N Memorable View Cir, Palmer, AK 99645 Phone: 405-625-2992

Kimberly Jo Crandall, FNP-BC - Medicare Nurse Practitioner in Palmer, AK