Jody Renee Crabtree, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA219135 Issued in OR

Practice address

6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487

Phone

(503) 430-1777

Fax

(503) 372-5119

NPI assigned

Aug 1, 2018

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

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 CA, OR2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• CRM Physicians, LLC

  dba Ascent Healthcare

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  Physician Assistant

  Medicare reassignment NPD
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Medicare reassignment NPD
• Chandan DS Cheema MD Inc

  dba Capital Medical Extended Care

  • Internal Medicine Physician
  • Fair Oaks, CA
  • NPI 1598965667
  Medicare reassignment

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1487132379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 AZALEA DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975268313",
            "telephone_number": "925-570-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE STE 206",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085487",
            "telephone_number": "503-430-1777",
            "fax_number": "503-372-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "JODY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA219135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Cox, CSWA
• John J Coyle
• Jennette Cozad
• Dennis M Cozzocrea, DC
• Ashley Crabb, NP
• Kristi Leigh Crader, M.ED.
• Julie Lyn Cramer, PA-C
• Willaclare Franklin Crank
• Scott Daniel Crawford, ATC, CSCS
• Stephanie K. Crawford, M.S. CCC-SLP

• Physician Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.