Adam Kemp Crandell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

010101 Issued in AZ

Practice address

117 E Main St Ste A100
Payson, AZ 85541-4606

Phone

(928) 596-4500

NPI assigned

Jun 17, 2021

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner HealthGroup PAC ID 9537078365, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care - Payson Home health agency, Payson, AZ, CCN 037114
• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318
• Rim Country Health & Retirement Community Nursing home, Payson, AZ, CCN 035134

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Medicare reassignment Care Compare group NPD
• Jeffrey Wilde MD PLLC

  dba Wilde Desert Family Medicine

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1518515683
  Medicare reassignment NPD
• Banner Health

  • Multi-Specialty Clinic/Center
  • Susanville, CA
  • NPI 1205267549
  NPD (past)

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

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568844181
  Care Compare affiliation
• Rim Country Rehab, Inc

  dba Rim Country Health & Retirement Community

  • Skilled Nursing Facility
  • Payson, AZ
  • NPI 1578568267

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1194393868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST STE A100",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST STE A100",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414606",
            "telephone_number": "928-596-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "ADAM",
        "middle_name": "KEMP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona T Coppelli, N.P.
• Tom Cosper, PHARMD
• County of Gila (Gila County Division of Health and Community Services)
• County of Gila Payson Unified School Dist 10
• CP Dental LLC
• Andy Crandell
• Kathleen Louise Crane, SLP
• Creekside Birth Cottage
• Larry Gene Cromwell, MD
• Michael Crossman, PT

• Family Medicine Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.