James R Crabill, PA
Individual provider Active NPI Physician Assistant · Fargo, ND
NPI 1194778068 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1194778068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0014 (ND)
- Practice address
- 1720 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 280-4140
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
904 5TH Ave NE
Jamestown, ND 58401-3437
Phone (701) 253-4000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Sanford Hillsboro
- Carrington Health Center
- Jamestown Regional Medical Center
- Perham Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- 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 |
|---|---|---|---|---|
| I20041221000762 | ND | Practitioner - Physician Assistant | 9830157973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8880 | MN | MD | General Practice Dentistry |
| PAC0014 | ND | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
211 E Mill St
Pelican Rapids, MN 56572
Phone (218) 863-6100
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
2301 25th St SW
Ste A
Fargo, ND 58103
Phone (701) 237-9712
904 5th Ave NE
Jamestown, ND 58401
Phone (701) 253-4000
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8880 | MN | |
| Medical Physician Assistant | 363AM0700X | PAC0014 | ND | |
| Medical Physician Assistant | 363AM0700X | 8880 | MN | |
| Surgical Physician Assistant | 363AS0400X | 8880 | MN | |
| Surgical Physician Assistant | 363AS0400X | PAC0014 | ND | |
| Physician Assistant | 363A00000X | PAC0014 | ND | Yes |
Addresses
Primary practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18053 | Medicaid | ND |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcrabill1840899@direct.sanfordhealth.org | Direct |
Other providers in Fargo, ND
- Theresa Marie Cowles
- Carissa Cowley
- Breanne Cox
- Carissa Jean Cox
- Courtney Crabill
- Barbara Jayne Crabtree
- Charles A Crago
- Evan Cramer
- Kimberly Crandall
- John L Crary
All providers in Fargo, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. 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.