Alex Crane, PA
Individual provider Active NPI Physician Assistant · Ashland, MO
NPI 1063259950 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1063259950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2024034301 (MO)
- Practice address
- 2393 E Highway MM
Ashland, MO 65010-9183 - Phone
- (660) 422-1686
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iron County Hospital District
Practice addresses (Care Compare)
301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184
Hospital & facility affiliations
- Iron County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105000965 | MO | Practitioner - Physician Assistant | 6507390192 | Reassigns benefits to 3 organizations |
| I20241118000564 | IL | Practitioner - Physician Assistant | 6507390192 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024034301 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron County Hospital District | Current |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFDECD/Endpoint/GFDECD
- alex.crane.1@16878.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2024034301 | MO | Yes |
Addresses
Primary practice location
2393 E Highway MM
Ashland, MO 65010-9183
Mailing address
2393 E Highway MM
Ashland, MO 65010-9183
Phone (660) 422-1686
Other providers in Ashland, MO
- Katherine E. Branham
- Cary J Calkins
- April Joy Church
- Nikki Clatt
- Holleen Coleman
- Curators of the University of Missouri
- Curators of the University of Missouri
- Curators of the University of Missouri
- Martha Brooke Dawson
- Haley Hawken Derks
All providers in Ashland, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.