Charles M Crane, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M9058 Issued in ID

Practice address

423 N 3Rd Ave Ste 210
Sandpoint, ID 83864-1511

Phone

(208) 263-6876

Fax

(208) 263-2033

NPI assigned

Jun 1, 2006

Last updated

Feb 2, 2025By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

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

Internal Medicine

Education

Duke University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Ponderay, ID, CCN 137122
• Welcome Home Healthcare Services, LLC Home health agency, Sandpoint, ID, CCN 137131
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301
• Bonner General Hospital Nursing home, CCN 13Z328

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.crane@bgh.gwaydirect.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001

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.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Medicare reassignment Care Compare group NPD
• Internal Medicine Associates, P.a.

  • Internal Medicine Physician
  • Sandpoint, ID
  • NPI 1154361988
  Medicare reassignment NPD
• Lakeshore Health PLLC

  • Internal Medicine Physician
  • Sandpoint, ID
  • NPI 1487380655
  NPD
• Bonner General Hospital, Inc.

  dba Bonner General Family and Internal Medicine

  • Family Medicine Physician
  • Sandpoint, ID
  • NPI 1033737887

  Internal Medicine

  NPD (past)
• Bonner General Hospital, Inc.

  dba Bonner Community Hospice

  • Community Based Hospice Care Agency
  • Sandpoint, ID
  • NPI 1073562591
  NPD (past)

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

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation
• Eden Home Health of Sandpoint, LLC

  dba Eden Home Health

  • Home Health Agency
  • Ponderay, ID
  • NPI 1346898830
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• Welcome Home Healthcare Services, LLC

  • Home Health Agency
  • Sandpoint, ID
  • NPI 1467808048
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1194762732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640863",
            "telephone_number": "208-263-6876",
            "fax_number": "208-263-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 3RD AVE STE 210",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641511",
            "telephone_number": "208-263-6876",
            "fax_number": "208-263-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Euclid Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838644939",
            "country_code": "US",
            "telephone_number": "208-610-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M9058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806836200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "59565",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "000010146473",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Micaela Coupal, LMT
• Ann L Cox, NP
• Hallie Lorene Cox, OD
• Andrew John Coyle, LD
• Craig White Anesthesia PLLC
• Creekside Counseling Center
• Alexis Nicole Creighton, DPT
• Dean Crosgrove, PA
• Nathaniel David Crow, MS DDS
• Stephen Leroy Cummings, MSW, LCSW

• Internal Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.