Individual provider Active NPI

Alex Crane, PA

  • Physician Assistant
  • Ashland, MO
National Provider Identifier
1063259950
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2024034301 Issued in MO
Practice address
2393 E Highway MM
Ashland, MO 65010-9183
Phone
(660) 422-1686
NPI assigned
Jul 9, 2024
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024034301 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241105000965 MO Practitioner - Physician Assistant 6507390192 Reassigns benefits to 3 organizations
I20241118000564 IL Practitioner - Physician Assistant 6507390192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iron County Hospital DistrictGroup PAC ID 0941207526, 25 clinicians

Practice addresses (Care Compare)

301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iron County Hospital District CurrentSince Jan 16, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alex.crane.1@16878.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDECD/Endpoint/GFDECD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1063259950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 E HIGHWAY MM",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109183",
            "telephone_number": "660-422-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 E HIGHWAY MM",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109183",
            "telephone_number": "660-422-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ALEX",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024034301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MO

Sources for this page

Verify at the official NPI Registry.